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JOHNSON'S 



Therapeutic Key. 



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BY 




I. D. JOHNSON, M.D., 

Honorary Member of the American Institute op Homoeopathy, 
and Author op "A Guide to Homceopathic Practice." 



Starteentl) ffibttion, 

REVISED, IMPROVED AND ENLARGED, 




PHILADELPHIA : 

F. E. BOERICKE, 

HAHNEMANN PUBLISHING HOUSE. 

1889. 

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Copyright 




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L D. JOHNSON. 




1889. 







PREFACE. 



The demand which has exhausted so large an edition of 
this little volume in so short a time has prompted the 
author to again bring out a new edition. And to gratify the 
wishes of a large number of our professional friends we have 
reproduced the Materia Medica — which was left out of the 
last edition — and given further indications for the use of the 
remedies, besides presenting other important matter not found 
in the original text. 

The symptoms of each remedy throughout the work are 
marked according to their estimated value. The asterisk [*] 
represents characteristic symptoms, or "Key-notes" Those in 
italics represent similar symptoms, but of a less prominent 
character; while those left without a sign correspond to a 
third degree of distinction. 

We are indebted to the following gentlemen, whose works 
have furnished valuable hints in the preparaton of this edi- 
tion : Drs. Eaue, Hering, Guernsey, Lilienthal, Jahr, Hughes, 
Hale, Hartman, Hempel, Lippe, Gatchel, Arndt, Helmuth, 
and especially to Prof. A. R. Thomas, for valuable material 
culled from his excellent work on Post-Mortem Examina- 
tions. 

The work is submitted to the Profession with the belief 
that it registers the furthest advance made in Therapeutics, 
and represents the condensed experience of the leading 
physicians of our School. 

I. D. JOHNSON. 

Kennett Square, Pa., January, 1889. 



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(4) 



PART I. 
DIAGNOSTIC AND THERAPEUTIC HINTS. 



DIAGNOSIS. 

EVERY case of disease presents two grand problems to be 
solved; 1st, to discover its nature, and 2d, to devise its 
cure. And as it is a matter of vital importance to the phy- 
sician to be familiar with the most approved methods of 
diagnosis, in order to take advantage of every possible 
circumstance that will aid in the cure of disease, a few sug- 
gestions, that will facilitate investigation and refresh the 
memory, will be acceptable to the clinical student who may 
not have time or opportunity to consult larger works on the 
subject. 



THE TONGUE. 

The tongue and characters of its coating furnish important 
diagnostic signs in disease. 

A tremulous tongue is, in all acute diseases, of evil import, but 
has no particular significance in chronic nervous disorders. 

Immobility and trembling of tongue, indicates torpor of the 
brain. 

If the tongue is protruded very slowly, or left exposed 
after being shown, it is a sign of great exhaustion, or con- 
gestion, or other pressure on brain. 

When the tongue is thrust continually to one side it indi- 
cates hemiplegia of the organ. 

A thick and flabby tongue, showing indentations from 
pressure of teeth, indicates gastric and nervous irritation. 

A sharp and pointed tongue is often observed in irritation 
and inflammation of the brain. 

A bright red tongue indicates inflammation of gastric or 
intestinal mucous membrane. 

A clean red tongue, with papilla prominent, or a white 
coated tongue, with papilla projecting through the fur, indi- 
cate scarlatina. 

Coating of Tongue. — Coating on root of tongue does not 
mean much, most persons have it even in best of health. 

A patch)/ or "map tongue" denotes irritation or partial 
inflammation of the stomach. 

(5) 



b THERAPEUTIC KEY. 

A thick and yellow fur covering the tongue indicates biliary 
derangement. 

A dark brown coating on tongue indicates malignant fever. 

A dry, blackish, furred, and tremulous tongue indicates 
abdominal or putrid typhus. 

A tongue red on edges and tip, or having a red, dry streak, 
in centre, is typical of typhoid and gastric fevers. 

A thick, white coating on tongue indicates gastric derange- 
ments. 

A lead-colored tongue is found in cholera and mortification of 
lungs and stomach. 

A lead-colored tongue, with thrush, denotes death under all 
circumstances. — Raue. 

A bluish tongue denotes impeded circulation. 

A black coating, in dysentery, indicates exhaustion, morti- 
fication, death. In Jaundice it denotes organic disease of 
liver. In small-pox it is an unfavorable sign. 



THE PULSE. 

The pulse of a healthy adult male at middle life beats from 
70 to 75 times per minute ; but this is not an invariable rule, 
for some persons enjoy good health with a pulse at 50, and 
even lower, while others are as well with a pulse at 90. 
Again, it varies at different periods of life, and according to 
sex, position of body, etc., thus: — 

In embryo, its average per minute is 

At birth, 

During the first year, 
During the second year, 
During the third year, . 
About the seventh year, 
About the fourteenth year, 
In the middle period of life, . 
In old age, . . ' • 

The pulse of women is more frequent by 10 or 15 beats per 
minute than those of men. 

The pulse is more frequent by 10 or 12 beats in the standing 
than in the sitting posture. 

Muscular exertion, as dancing, for example, will raise the 
pulse from 75 to 125, and even higher. And eating or drinking 
will likewise increase the heart's action; on the contrary, 
during sleep the pulse is less frequent. 

OP THE PULSE IN DISEASE. 

Acceleration of the pulse is a common symptom of all febrile 
disorders ; it augments with their increase and subsides with 
their decline. 





150 


140 to 


130 


130 to 115 


115 to 100 


100 to 


90 


90 to 


85 


85 to 


80 


75 to 


70 


65 to 


50 



CLINICAL THERMOMETRY. 7 

The pulse of an adult rarely exceeds 150 per minute, even 
in acute inflammatory affections; when it runs above 170 per 
minute, it portends a fatal issue. 

A quick, hard pulse is very characteristic of diphtheria and 
scarlatina. 

A quick, full, bounding pulse indicates inflammation, or fever 
of an acute inflammatory character. 

A sluggish, full pulse evinces a want of nervous energy. 

Unusual slowness of pulse is chiefly met with in chronic 
softening and in tuberculous affections of the brain. It is also 
a common symptom in diseases attended with coma resulting 
from concussion, or compression of the brain. 

A changeable pulse indicates nervous derangement, and 
sometimes organic disease of heart. 

A fine, scarcely perceptible pulse denotes great exhaustion and 
approaching death. 

An intermittent pulse is not inconsistent with health ; never- 
theless, it is more commonly an indication of disease of the 
heart. 

CLINICAL THERMOMETRY. 

The temperature of the body in a state of health ranges 
between 98° and 100° F. It is slightly increased by eating, 
exercising, and external heat ; on the contrary, it is reduced 
about 1^° during sleep. 

To ascertain the temperature of the body, place the bulb 
of a thermometer under the tongue or in the axilla, carefully 
protecting it from the air, and after the space of five minutes, 
the temperature will be expressed by the ascent of the mer- 
cury in the instrument. 

In disease, the temperature of the body deviates several 
degrees above and below the average of health. When it 
moves upward, it is far less dangerous than when it moves 
downward, particularly in children. Even in adults, one 
degree below the standard of health represents more danger 
than 2£° above, and 2° below more than 4° above, and so on. 

In facial erysipelas, acute meningitis, pneumonia, scarla- 
tina, typhus, small-pox, and intermittent fever it sometimes 
rises as high as 106° or 107° F. In other febrile diseases it 
rarely reaches 104°. 

A temperature of 105° to 106°, if it continues uninter- 
ruptedly for some weeks, leads certainly to death. 

The temperature rises higher the nearer the disease draws to 
a fatal issue. 

The loivest extreme of temperature is sometimes found in 
the cold stage of cholera, when the mercury rises only 90° or 
91° F. It also falls suddenly in some cases of puerperal 
fever, pneumonia, and abdominal typhus, after a preceding 
high temperature. 



8 



THERAPEUTIC KEY. 



In general, for every degree of the thermometer, the pulse 
rises 10 beats per minute; but the rise of temperature to 
99J° gives more evidence of disease than the rising of the 
pulse from 70 to 80 beats per minute. 

A decrease of heat in morning is favorable ; an increase 
from night to morning the reverse. 

If the temperature remains above the normal after general 
symptoms denote convalescence, the patient is in danger of 
relapse, or the supervention of some other affection. 

A slow and gradual increase of temperature indicates 
typhoid fever. 

In the course of typhoid fever, a sudden notable fall of 
temperature indicates intestinal hemorrhage. 

The range of the increase of heat in different febrile dis- 
eases extends to 110° F., and as a rule, the amount of increase 
is a criterion of the intensity of the disease. For example : — - 

A temperature of 108*6° indicates almost certain death. 



107° < 


■ generally fatal except in 
intermittent. 


106° 


' intense fever. 


105° 
104° 


* high fever ; dangerous. 
' severe fever. 


102° 


* moderate fever. 


101° 
986° 


1 slight fever. 
' normal. 


98° 


* sub-normal. 


96-6° < 
94° < 
93° 


' collapse. 

< algid collapse. 

• fatal collapse, except in 

cholera. 

• 



RESPIRATION. 

In the healthy condition, respiration is easy, gentle, regu- 
lar, and without noise. It varies according to age, sex, and 
individuality, so that the normal number of respirations will 
average during repose : — 

1 st year about 35 per minute. 

2d year " 25 " 
15th year " 20 " " 
25th year " 18 " " 

Respiration is rendered more frequent by exercise, emo- 
tions, the process of digestion, etc. In disease it may be 
preternaturally frequent or slow, rising to 60 or 80, or falling 
to 8 or 10 per minute. Frequent respiration is common in 
all febrile and inflammatory diseases, especially in children. 
As a general rule, rapid breathing is a sign of thoracic 
disease. As mental emotions quicken the respiration, so do 



ALVINE DISCHARGES. V) 

certain nervous diseases. In hysteria, patient often breathes 
60 or 70 times a minute. 

Slow respiration is seldom, if ever, an attendant upon 
pulmonary disease, but is the result of some structural or 
functional derangement of the nervous system. It is 
observed in apoplexy, in effusion of serum within the 
cranium, in softening of the brain, and in most of the 
circumstances which occasion coma. 

Abdominal respiration is where the diaphragm chiefly 
exerts itself, while the walls of the chest are nearly at rest. 
This usually occurs in acute pleurisy, rheumatism of chest, 
pericarditis, fracture of ribs, etc. 

Thoracic or high respiration is where the abdomen does not 
move, respiration being performed entirely by expansion of 
the chest. This is observed where the peritoneum, diaphragm 
or its pleural cavity is inflamed. 



ALVINE DISCHARGES. 

Signs from Defecation. — Diarrhoea and constipation are two 
of the most uniform accompaniments of disease. Even in 
healthy subjects the character and frequency of the evacu- 
ations vary greatly. Infants have from 3 to 6 passages daily, 
adults usually one, and the aged even less. Persons leading 
a sedentary life and using stimulating food, often go for a 
week without a faecal discharge. 

The existence of Constipation, except where it leads to an 
accumulation of faeces in bowels, has but little influence upon 
prognosis. 

In diarrhoea the stools vary from 2 or 3 to 40 or 50 in 24 hours. 

Diarrhoea occurring in the commencement of an acute attack 
of disease seated elsewhere than in abdomen, is of unfavor- 
able significance. If it occurs later in the disease, followed 
by alleviation of symptoms, it is sometimes critical. Drop- 
sies have been cured by spontaneous diarrhoea. 

Involuntary stools, without consciousness or without patient 
being able to prevent it, indicates fatal result. 

Consistency of Faeces. — Children at the breast pass faeces 
of pap-like consistence; with the advance of years they grow 
progressively harder. 

In disease, the excrements may be as hard as dry clay, or 
as thin as serum. 

In mania, melancholy, and lead-colic, faeces are extremely 
compact. When long retained they will be globular, resem- 
bling sheep's dung. 

In stricture of rectum, faeces assume shape and size of aper- 
ture, may be flattened, indented, or long and slender. 

Color of faeces varies. In children at the breast they are 
habitually light-yellow. During first dentition, and in sum- 
mer complaint, they often resemble hashed spinach. 
1* 



10 THERAPEUTIC KEY. 

In cholera, stools contain little flakes of fibrin, giving them 
appearance of rice-water. 

A deficiency of bile makes stools grayish-white like potter's 
clay. 

An excess of bile makes the stools brown or dark colored. 

Redness of the stools, is due to the presence of blood, seen 
in dysentery, congestion of liver, spleen, and in haemorrhoids, 
typhus, scurvy and purpura. 



THE URINE. 

PHYSICAL EXAMINATION OF. 

A healthy adult person passes from 30 to 40 fluidounees 
of urine in 24 hours ; the quantity in summer varying from 
30 to 35 ounces. Certain articles of food, drink, and drugs 
change its quantity and quality. Fruits, as apples, peaches, 
melons, etc., increase its quantity; while madder imparts to 
it a deep orange-color ; logwood, raspberries, mulberries, and 
blackberries, increase its redness ; indigo makes it blue, 
rhubarb and angusturia yellow; carbolic acid and preparations 
. of iron blacken it, and tannin renders it colorless. Turpentine 
gives to it an odor of violets; cubebs its characteristic smell, 
and asparagus a fetid odor. 

Color. Healthy urine is light amber or straw colored, but 
it may be colorless as water. It exhales a peculiar aromatic 
odor, which it loses on cooling. About 93 parts in 100 of 
such urine are pure water ; the remainder are chiefly urea, 
saline and organic matters. 

DIAGNOSTIC HINTS. 

A smoky tint is diagnostic of the presence of blood. 

Red urine generally indicates an excess of acid. 

Deep yellow urine indicates the presence of bile. 

Dark brown or black urine occurs during many malignant 
diseases, and are due to rapid morbid changes in the tissues 
and to decomposition of the blood. 

Turbid urine indicates the presence of mucus or pus. 

Pale urine contains an excess of water, urea, or sugar. 

Colorless urine is seen in hysteria, and after eating certain 
fruits. 

The froth on normal urine readily disappears, but if it be 
permanent, the presence of albumen or the constituents of 
bile may be suspected. 

CHEMICAL ANALYSIS OF THE URINE. 

Before commencing the examination of the urine, the 
clinical student should provide himself with the following 
apparatus and reagents : — 



THE URINE. 11 

Two Cylindrical Urine Glasses capable of holding from 4 
to ounces each. 
A Urinometer, the stem graduated from 1000 to 1060. 
Blue and Eed Litmus and Turmeric Paper. 
A Test Tube. 
A Spirit Lamp. 
Nitric and Acetic Acid. 
Liquor Potassae or Liquor Soda. 
Ferrocyanide of Potassium. 
A Glass Funnel and some Filtering Paper. 

SPECIFIC GRAVITY. 

The specific gravity of urine varies in health from 1010 to 
1025 ; a fair average is about 1020. The simplest way of 
testing its density is by means of the Urinometer. 

The urine to be examined should be a portion of the whole 
quantity passed in 24- hours. Put about 4 ounces into a cylin- 
drical glass, care being taken to remove all froth. The 
Urinometer is then introduced, and allowed to float freely 
without contact with the glass. To obtain a correct reading, 
place the eye on a level with the surface of the fluid, and 
"look through the glass at the scale on the stem of the instru- 
ment. 

Sugar in the urine is the most common cause of a high 
specific gravity; if this substance be not present, uric acid 
will be the most probable cause. 

A low specific gravity is often noticed in chronic Bright' s 
disease, in hysteria, in anaemic conditions, and in diuresis 
from any cause. 

REACTION. 

Healthy urine is generally acid, as may be proven by test- 
paper (turning blue litmus-paper red). 

A very acid, high-colored urine favors the occurrence of 
calculus and gravel. 

Alkaline urine is rarely observed ; when it is, it will be 
found to turn red litmus-paper blue. Acid urine sometimes 
becomes alkaline by standing long. 



EXAMINATION FOR ALBUMEN. 

Urine not distinctly acid should be rendered so before 
testing it for albumen, by adding a few drops Acetic Acid. 
If permanently turbid, it should ha filtered before boiling. 

Test. — Place half an ounce of urine in a clean test-tube, 
heat slowly to boiling point ; if a whitish cloud forms, add a 
few drops of Nitric Acid, and if the cloudiness remains, it is 
due to albumen ; but it disappears if due to the earthy 
phosphates. 



12 THERAPEUTIC KEY. 

Dr. Smith's Test. — To a little urine in a test-tube add one- 
third its bulk of Acetic Acid, and afterwards a few drops of 
a s olution of Ferrocyanide of Potassium ; if albumen be present, 
a dstinct whitish precipitate will occur. 

Banal Casts. — The search for renal casts should always 
follow the detection of albumen, as this substance alone does 
not indicate kidney disease unless tube-casts are found. 
Allow the urine to settle in a tall glass, then pour off the top, 
and use last few drops, which place under microscope for 
examination. 

EXAMINATION FOR SUGAR. 

Sugar in the urine is the most common cause of a high spe- 
cific gravity ; if it rises above 1030, sugar may be suspected. 

Moore's Test. — Equal parts of urine and liquor potassse or 
liquor sodaB are poured into a test-tube, and the upper layer 
of this mixture heated to boiling over a spirit-lamp. The 
heated portion becomes brown-red, dark-brown, or black, 
according to the amount of sugar present. If the mixture 
does not perceptibly darken on boiling, it may be assumed 
to be free from a hurtful quantity of sugar. 

Cautions. — High-colored urines, and urines containing 
excess of phosphates, darken perceptibly on boiling with 
caustic alkalies, and if the urine be albuminous, the color 
will be greatly deepened, though no sugar be present. Before 
applying the tests, therefore, to albuminous urine, the albu- 
men must be removed by filtration after boiling with, a few 
drops of Acetic Acid. 

Trommer's Test. — Put about a drachm of the urine into a 
test-tube, and add about half the quantity of liquor potassse 
or sodae. A weak solution of sulphate of copper (10 grains to 
fluidounce) is now dropped into the mixture. The precipi- 
tate first formed is redissolved on shaking the test-tube. 
The copper should be carefully dropped in, and the test-tube 
shaken after each drop is added, so long as the precipitate 
is easily redissolved. The solution will now be a blue trans- 
parent liquid. The mixture is next heated to boiling, when, 
if sugar be present, an orange-red precipitate will first be 
thrown down, which, after standing, becomes reddish-brown. 

Quantity of Sugar in the Urine. — To estimate the amount 
of sugar in the urine, put about4fluidounces into a 12-ounce 
bottle with a piece of German yeast the size of a chestnut; 
set it in a warm place, lightly covered, and by its side place 
another bottle of the same urine without any yeast, and 
tightly corked. After a period of 24 hours, the fermented 
urine is poured into a wineglass, and the specific gravity 
taken. The specific gravity of the unfermented urine is also 
taken, and the number of "degrees of density lost" in the 
fermented urine will give the number of grains of sugar con- 
tained in a fluidounce. 



THE SICK-ROOM. 13 

Observations. — Modern research has shown that a healthy- 
man excretes daily through the kidneys about 15 grains of 
sugar ; therefore, unless the tests show a much greater 
quantity than this, it is of little value in a diagnostic or 
therapeutic sense. It has also been ascertained that the 
excretion of sugar in diabetes is far greater during the night 
than during the day. 

PUS IN THE UEINE. 

Pus is frequently present in the urine, and produces a thick 
sediment at the bottom of urine-glass*. It rarely becomes alka- 
line, and readily decomposes after being passed. It is perma- 
nently turbid ; that is, the turbidity is unaffected by heat. 

The deposit from urine containing pus is rendered viscid 
and gelatinous by the addition of about half its quantity of 
liquor potassee. Urine containing mucus, on the other hand, 
becomes more fluid and limpid by the addition of liquor 
potassae. 

URINARY DEPOSITS. 

The microscope affords the best means of determining the 
character of urinary sediments. 

A light, flocculent, cloudy deposit is commonly mucus, epi- 
thelial cells or spermatozoa. 

A yellow, orange, or pinkish deposit, dissolving when 
heated — urine acid — is due to urates. 

A dense, abundant white deposit, dissolving when Acetic 
Acid is added — urine alkaline — consists of phosphates. 

A granular or crystalline reddish deposit, is uric acid. 

A dark, sooty and dingy-red deposit, is usually blood. 

Bodies resembling earth-worms, are sometimes passed from 
the bladder ; they are coagula of blood, moulded in the ureters. 



THE SICK-ROOM. 

The room to be occupied by the sick should be large and 
airy, on the upper floor of house, exposed to direct rays of 
sun and as retired as possible. The temperature in winter 
should not exceed 70° F. 

Ventilation. — A constant supply of pure atmospheric air is 
an absolute necessity in the sick-room. Remove all perfumery, 
camphor and quack nostrums ; open the windows and doors, 
and let in the pure fresh air of heaven. Observe the 
strictest regard to cleanliness, and exclude all persons not 
absolutely needed, as they tend to vitiate the atmosphere. 

Furniture. — The bed should be a hair mattress, covered with 
a gum blanket or oilcloth to prevent its being soiled ; over 
this place the under sheet and then the upper coverings. 
Use hair pillows, and where special support is needed [as in 
case of bed-sores] air cushions. Where contagious diseases 



14 THERAPEUTIC KEY. 

are rife, have as little furniture in room as possible, espe« 
cially upholstered, and no carpets, curtains or rugs. 

Disinfection. — No disinfectant can take the place of free 
ventilation and cleanliness. Volatile chemical agents, such 
as Carbolic Acid, Chlorine, Bromine, Iodine and Sulphurous 
Acid, when used in sufficient quantities to destroy disease 
germs, will also destroy the patient; therefore, it is found 
impractical to disinfect an occupied room by such means. 
Bad odors may be neutralized, but this is not disinfection ; 
better turn foul air out the window or up the chimney, than 
attempt to purify it. 

Pulverized Charcoal put in dishes and set about the room is 
an excellent purifier of vitiated air. Cold fresh water, put 
in a wide tub and placed under the bed, is a good absorber 
of gases. It should be renewed two or three times a day. 

Disinfection of Excreta. — Receive all alvine and other 
discharges in & porcelain vessel containing a solution Chloride 
Lime [4 ounces to gallon], let stand ten minutes, then remove 
and bury. If impracticable to bury discharges, empty into 
water-closet, and frequently throw down a solution Sul- 
phate of Iron [1 lb. to gal.]. 

Another powerful disinfectant is: R. Corrosive Sublimate 
and Permanganate of Potash, aa gii, water Cj : dissolve and 
use same as Chloride Lime, Being odorless, it has this 
advantage. It is very poisonous, and will injure leaden pipes 
and metallic vessels if allowed to remain in them long. 

Disinfection of Clothing. — All soiled clothing should be 
immersed in Chloride of Lime water [2 ounces to gal.] for two 
hours before being sent to the wash. Clothing and bedding 
which cannot be washed should be exposed to a temperature 
of 230° for three hours, and where this cannot be properly 
done, they should be burned. 

Sputa. — All matters or secretions expectorated by patients 
suffering with scarlatina, diphtheria, small-pox, typhus, phthisis, 
etc., should be disinfected by being discharged in a cup half 
full of Chloride of Lime Water [4 oz. to gal.]. 

Fetid Odors. — Offensive odors arising from morbid secre- 
tions, exhalations, etc., may be deodorized as follows: 
Dissolve an ounce of Chlorate Potassse in a gallon of water, 
saturate cloths in the solution and hang them about the 
room. 

Fumigation. — After scarlatina, small -pox, diphtheria, 
typhus and yellow fever, fumigation should be resorted to. 
Take three lbs. of Sulphur [for every 1000 cubic feet of air 
space in room], put it in an earthen pan, set it on a brick in 
a tub part full of water, place this in the room and set it on 
fire with live coals. All heavy clothing should be opened 
out and fully exposed, and all metallic substances removed. 
Keep the room tightly closed for twenty-four hours, then open 
and air thoroughly. 



DIETETIC PREPARATIONS. 15 

Privy Vaults, Cess-Pools, etc. — For the disinfection of 
privy vaults, cess-pools, etc., dissolve two pounds of Sulphate 
of Iron in two gallons of water and throw into pit or drain. 
This should be repeated from time to time as occasion may 
require. 

DIETETIC PREPARATIONS. 

BEEF TEA (Liebig's Receipt). — Take half a pound of fresh 
beef, finely minced, one pint soft water, four drops Muriatic 
acid, and a little salt. Dissolve the salt and acid in three- 
fourths of the water and add to it the meat. Let stand an 
hour, then strain through a sieve or cheese-cloth, and wash 
the residue with the extra quarter of a pint water, and 
mix the two liquids together. 

To warm up beef tea put it in a teacup and set the cup in 
a vessel of hot water. 

BEEF TEA (Gatchel's Receipt). — Take a pound of fresh 
beef cut fine, soak over night in third of a quart cold water. 
Now put the meat in two-thirds of a quart water and simmer 
two hours, adding a little water occasionally to replace what 
is lost by evaporation. When done pour the broth into the 
liquor in which the meat was soaked, squeezing meat dry as 
possible. Put meat on plate in oven, and when perfectly dry, 
powder in a mortar and mix it with the liquor. Add a little 
salt, 20 drops Muriatic ac, and 3 grs. Pepsin. 

This preparation contains all the elements of the meat in 
a liquid form. It makes an excellent nutrient enema. 

BEEF TEA [No. 2]. — Take a pound of lean beef, pound 
thoroughly, put it in a pint of cold water, place over a slow 
fire and let it come to a boil, then remove it from the fire, 
skim off the top and season with a little salt. 

BEEF JUICE.— Take a slice of fresh juicy beef without any 
fat, broil it just enough to heat it well through, score it on 
both sides and press out the juice with a lemon-squeezer into 
a hot bowl, and serve it warm. 

CHICKEN BROTH.— To a pound and a half of chicken, cut 
in small pieces and bones broken, add three pints cold water 
and a teaspoonful of rice. Bring slowly to a boil and let sim- 
mer two hours closely covered. When done pass it through 
a sieve into a hot bowl pressing through the rice. Let stand 
a few moments, skim off the fat and season with salt. 

MUTTON BROTH.— Put a pound of mutton cut in pieces in 
a quart of cold water, bring it slowly to a boil, and let 
simmer for two hours; when done pour through a sieve, skim 
off the fat, and season with salt and a very little red-pepper. 
A little fresh, well boiled rice may be added. 

OYSTER SOUP. — Put one pint of oysters in a saucepan, 
add a teacupful of water; place on the fire, and when it 
comes to a boil, remove it and pour off the liquor into a hot 



16 THERAPEUTIC KEY. 

bowl, and the oysters in another vessel. Return the pnn to 
the fire and put into it a lump of butter the size of a walnut, 
and when it begins to bubble stir in a spoonful of finely 
powdered cracker, then add the juice of the oysters and half 
a teacupful of cream. Let cook a few minutes, then add the 
oysters, and when thoroughly hot, season with salt and serve 
immediately, 

BARLEY GRUEL.— Mix gradually a tablespoonful of barley 
flour with an ounce of cold water, then add two ounces of 
boiling water and a pinch of salt. Cook for a few minutes 
and then add three tablespoonfuls of milk ; let it again come to 
a boil and sweeten with a little sugar. 

GRAHAM-FLOUR GRUEL.— Take two heaped tablespoon- 
fuls of Graham flour; one pint of water salted. Rub up the 
flour in half a teacupful of cold water; put the pint of water 
in a water bath (or farina-kettle) over the fire, and when it 
boils, stir in the flour and cook three-quarters of an hour. 
When done, strain through a thin cloth, add a tablespoonful 
of sweet cream, and serve warm. This is an excellent article 
of diet for children or persons with delicate stomachs. 

RICE GRUEL.— Take one tablespoonful of ground rice, 
one pint of water, and a pinch of salt. Rub up the rice in 
a little cold water; put the pint of water in a saucepan over 
the fire, and when it boils, stir in the rice and cook twenty 
minutes. If a richer gruel is desired, use milk instead of water. 

GRAHAM BREAD.— Take one cupful bread sponge ; half 
a cupful warm water; three cupfuls Graham flour ; lard the 
size of an egg; half teaspoonful salt. Mix ingredients 
together and put in a deep pan and set in a warm place. 
When well raised, bake immediately. 

TOAST. — Use stale bread; cut slices thin and even; place 
on a thin platter in an open oven, and dry it through ; then 
place in a toaster and turn from one side to the other until it 
receives a deep yellow and uniform color. If to be served 
dry, place on a hot plate, butter and salt slightly. 

To make Water Toast, prepare the bread in the same 
manner as described above, then pour over it a cupful of 
boiling water, cover with a dish, and set in a hot oven for a 
few minutes. 

CREAM TOAST. — Prepare the bread as described above; 
pour over it boiling water, and after standing a moment, 
drain it off; butter and salt it slightly, then pour over it a 
little fresh cream. Set in a hot oven for a few minutes, then 
serve it immediately. 

GRAPE JUICE. — To one quart of grapes add a pint of 
water; let simmer from five to ten minutes; then strain 
through a cloth and sweeten to taste. 

APPLE WATER.— Take a juicy apple; pare, core, and cut 
in slices; boil in a closely covered vessel till thoroughly 
cooked ; then strain and sweeten to taste. 



ARTIFICIAL DIGESTION, ETC. 17 

LIME WATER. — Take a lump of unslacked lime, size of 
small hen's egg; pour over it a quart of hot water; when 
slacked, stir thoroughly and let stand over night ; then pour 
off the clear liquid and bottle. 

TO KEEP ICE.— Tie a flannel cloth over the mouth of a 
deep vessel; let the cloth hang down loosely in the vessel; 
put the ice in this and cover with another flannel. Ice will 
keep in this way many hours in warm weather. 



ARTIFICIAL DIGESTION. 

Pepsin and Pancreatin are extensively used at present for 
the purpose of digesting food artificially. Pepsin is usually 
prescribed in ten-grain doses immediately before or after 
each meal to assist digestion. It should be mixed with 
arrowroot and given in sweetened water. If administered 
while fresh or in an active condition, it will be found very 
useful in some forms of chronic dyspepsia, and in convales- 
cence after acute exhausting diseases. 

Pancreatin is mixed with the alimentary substances, such 
as milk, gruel, beef-tea, etc., and the food allowed to undergo 
partial digestion before being taken into the stomach. Food 
treated in this way has been found especially useful in 
that form of indigestion sometimes called •« intestinal dys- 
pepsia." 

To Peptonize Milk. — Dissolve 5 grs. Ext. Pancreatin and 15 
grs. Bicarbonate Soda in 4 ounces of water. Pour this 
into a quart bottle and add to it a pint of fresh milk. Place 
the bottle in a temperature of 100° F. to keep it warm ; let 
stand from 30 to 60 minutes, according to the degree of 
fermentation desired. When the milk turns grayish yellow 
and tastes bitter, it is thoroughly peptonized. The process of 
fermentation may be arrested at any point by heating the 
food to the boiling point, or putting it in a refrigerator and 
keeping it cold. 



RECTAL ALIMENTATION. 

When it becomes necessary to nourish a patient, where 
food cannot be taken by the mouth or retained by the 
stomach, nutrient injections have been resorted to for the 
purpose of sustaining life. 

Milk, beef-tea, broths, gruels, etc., are employed for this 
purpose. Peptonized foods used in this manner have been 
found very valuable. 

The rectum should be well emptied and washed out by 
warm water injections before giving the food. The temperature 



18 THERAPEUTIC KEY. 

of food should be about 98° F. Inject about two ounces at a 
time, at intervals of two hours. Use syringe with long tube ; 
inject slowly and as high up as possible. 

Nutrient Suppositories are largely used in cases requiring 
food in this way. They are manufactured and for sale at 
most drug stores. 



DIET OF INFANTS. 

The question of Diet for Infants "reared by hand," is one 
of great importance to the clinical student. On account of 
the difficulty experienced in obtaining a suitable substitute 
for mother's milk, various articles and compounds have been 
introduced to meet t^e wants of the infant. 

WET-NURSE.— The mother's milk, where she is healthy, 
is undoubtedly the best food for child ; but where this cannot 
be obtained, a proper substitute must be furnished. Breast- 
milk being the natural food for infant, a wet-nurse should be 
procured. Before engaging one, however, her physical con- 
dition should be closely scrutinized. She should have a 
robust constitution, be free from all eruptions, herpes, ulcers, 
leucorrhoea, syphilis; in a word, she should be healthy and 
free from all vices and pernicious habits. 

COW'S MILK. — Cow's milk is perhaps the best food for 
infants where the mother's milk is out of the question, or a 
suitable wet-nurse cannot be obtained. But there are many 
points to be considered in its selection. It is important that 
the milk be taken from one cow, and not from a mixture of 
several. For a new-born infant, the cow should be fresh or 
nearly so, and the milk first drawn used, as it is weaker and 
will not require the admixture of water. If the milk be 
rich, add one-third warm water and sweeten with Sugar of 
Milk. As child grows older, add less water. The milk 
should not be boiled, but heated in a water-bath, or given 
fresh from the cow. When cow's milk disagrees, a little salt 
added will often be of great advantage. 

Cow's milk is slightly alkaline, but sometimes when the 
animal has been milking several months, it becomes slightly 
acid, in which case some physicians advise adding a little 
lime-water. To test the acidity, dip a strip of blue litmus- 
paper in the milk, and if paper turns red, milk is acid and 
unfit for a young infant. Good cow's milk will turn red 
litmus-paper blue. 

SUGAR OF MILK. — Where the mother has a deficiency of 
milk, and the child requires additional food, dissolve a large 
teaspoonful of Sugar of Milk in half a teacupful of boiling 
water, and add an equal quantity of fresh unskimmed milk, 
and give in proper quantities to the child. In using this 
preparation, if the milk or caseum is thrown up or passed 



WATER, IMPURITIES IN. 19 

from the bowels undigested, add a little pulverized gum 
arable to the mixture. — Dr. Moore. 

WHEAT GRUEL.— Boil a handful of unbolted wheat flour 
in a quart of water for three-quarters of an hour ; strain 
through a cloth, slightly season with salt and sugar, and 
thin so as to pass through the nursing-tube. A little cream 
added will make it more nourishing, or if marasmus threaten, 
pulverized hard-boiled yolk of egg may be added. This is 
an excellent article of diet for young children. As they 
grow older, get their teeth, and are of an age to wean, it 
should be prepared in the form of mush, and eaten with a 
little sugar and cream. 

GELATINE. — Take a piece of sheet gelatine about the size 
of silver dollar, soak half hour in water. Then put it in a 
pint of fresh water and boil till dissolved. Rub three tea- 
spoonfuls of Bermuda arrowroot in a little milk, stir it into 
the gelatine-water, boil six or eight minutes and add a pinch 
of salt. Now add six tablespoonfuls of new milk and boil. 
After removing from the fire, add four tablespoonfuls of 
cream and a little sugar. If the child be constipated do not 
boil the milk. 

WHEAT FLOTJR.— Tie some flour in a cloth, boil for 
several hours until it becomes hard, when dry grate it down, 
and add a little milk or cream, with sugar. This is a very 
suitable diet for children after weaning, and does well for a 
change. 

WHEY.— Sweet whey prepared by separating the whey 
from the curd by rennet, is especially indicated when the 
child suffers from imperfect digestion. 

BEEF TEA.— Put one pound of fresh, lean beef in two 
quarts of water, and boil down to a pint; to a spoonful of 
this add one of water and one of milk. Advised where there 
is great prostration. 

BEAN TEA. — To a teacupful of wheat bran add a quart of 
water, and boil several minutes; add a little milk, and 
sweeten to suit. Advised in constipation. 



WATER, IMPURITIES IN. 

The taste and odor of a water are not to be relied upon in 
any degree. Water of delicious taste, clear and sparkling, 
may contain deadly impurities, while that tasting and smell- 
ing badly may be innocuous. 

Organic Matter. — Evaporate a quart of the water from a 
porcelain dish and note the residue, which should not be great. 
It may be due to excess of mineral matter not especially 
harmful. Put residue into iron spoon and heat over a lamp. 
If it turns black, organic matter is present. The odor 



20 THERAPEUTIC KEY. 

given off while heating, will help to determine nature of 
impurity. 

Test. — To a given quantity of water add enough Permangan- 
ate Potash to give it a pinkish hue ; cover carefully to exclude 
air ; if organic matter is present a brownish color will develop 
in a few hours. 

Fermentation Test. — To given specimen of water add a 
Syrup of Sugar, and keep warm enough for fermentation to 
take place. If organic matter be present, gas bubbles will 
be seen rising. Such impurities may be removed by nitration 
through sand, gravel, or charcoal. 

Chlorides. — To half pint of the water add a drop of Nitric 
Acid, then a few drops of a solution Nitrate Silver. If a 
white precipitate is formed which turns black on exposure 
to sunlight, chlorides are present, and if in large amount 
these waters should be avoided. 

Lead.— Water is often impregnated with a salt of lead from 
being kept in cisterns or pipes formed of this metal. Among 
the tests, none are So efficacious as Sulphuretted hydrogen; it 
reveals a brown-black precipitate where less than the 100,000th 
part of the salt is present. 

Again, to a glass of water add two or three drops of a 
solution Sulphide of soda. If the water becomes dark-colored, 
add two or three drops Hydrochloric acid;. if the color does 
not disappear, lead is present ; if it does, first discoloration 
is due to iron. 

Carbonate of Lime. — Water containing lime is usually termed 
"hard water." The degree of hardness is exhibited by its 
power to curdle soap. When it can be removed by boiling 
or evaporation, it depends upon the presence of Carbonate 
of lime, and when irremovable by this treatment, Sulphate of 
lime is usually present. Such water is unfit to use in the 
preparation of medicine. It may be detected by adding to 
the specimen a portion of lime-water. The lime unites with the 
carbonic acid, which holds the carbonate of lime in solution, 
and the latter is set free in the form of a white powder. 

Sulphate of Lime. — Add to the water a few drops of Nitrate 
of Baryta, and if sulphate of lime be present, a white insoluble 
precipitate will be thrown down. 

Sulphate of Copper. — Sulphuretted hydrogen gives a deep 
chocolate-brown precipitate ; or, if the copper be in small 
quantity, merely a brown color. A slip of polished iron (a 
common needle), suspended by a thread in the water, is 
speedily coated with a layer of copper. 

Sulphate of Iron. — Ferrocyanide of Potassium added to the 
liquid gives a greenish-blue precipitate, becoming deep blue 
on exposure to the air. Hydrosulphuret of Ammonia gives a 
black precipitate. 

Oxide of Zinc. — Ammonia, or Sesquicarbonate of Ammonia, 
throws down a white precipitate. 



WATER AS A CURATIVE AGENT. 21 

WATER AS A CURATIVE AGE1TT. 

As a hygienic and curative agent, water has been employed 
from time immemorial. That it possesses great palliative and 
curative powers has been well attested, both in public and 
private practice. It is an important auxiliary in the treat- 
ment of disease when employed in conformity with the 
homoeopathic law of similars. 

Bathing. — Every bath should be taken while the body is 
warm. 

No bath should be taken on a full stomach, or soon after a 
meal. 

Being in a perspiration is no objection to taking a bath. 

Delicate persons should not remain long in a bath. Should 
leave the water feeling vigorated. 

THE SPONGE BATH. — Apply the water by means of a 
sponge or crash towel, then rub briskly and thoroughly dry. 
Any invalid may take this bath with benefit. The water may 
be warm [90° to 100° F] or cold [50° to 60°] to suit the 
patient. 

THE WARM BATH.— The patient should lie in the bath 
and be rubbed by the nurse. If a bath-tub is not at hand, 
use a large wash-tub, which the patient may sit in, while the 
nurse dashes tbe water rapidly over the neck and shoulders 
for three or four minutes, then wraps him in a clean dry sheetf 
places him in bed, and allows him to dry without being rubbed. 

In cases attended with high fever, restlessness and inability 
to sleep, this form of bath will have a salutary effect. 

WET SHEET PACK. — Remove all clothing from mattress, 
place a pillow at the head, over this and the mattress spread 
two comforts, then a blanket; next take a sheet previously 
wet in cold water and well wrung out, spread this over the 
blanket. Now, the patient unclothed, lies down on his back 
in middle of sheet, head on pillow and arms raised ; the nurse 
now brings one side of sheet over the patient and tucks it 
under him; the arms are now dropped and the other side of 
sheet turned over opposite side and tucked in closely about 
the neck, shoulders, and body; the blanket is next turned 
over, first one side, then the other, and snugly tucked in ; then 
in like manner the comforts are wrapped'over by successive 
manipulations until the packing is complete. 

The patient may remain in pack half an hour or longer, 
according to circumstances, after which he should be sponged 
off, a dry sheet thrown over him like a cloak, and in this and 
with this rubbed thoroughly dry. 

Valuable in rheumatism, and all fevers, to lower the tempera- 
ture, and in scarlatina and measles it helps to bring out the rash, 
while in some chronic skin diseases it is an important remedy. 

THE SITZ BATH.— Take an ordinary, wash-tub, prop it on 
edge, place in it enough water to rise to patient's navel when 



22 THERAPEUTIC KEY. 

he sits down in it. The temperature of bath must be regu- 
lated to suit the occasion; in some cases it should be as hot 
as can be borne. 

Valuable in amenorrhosa, menstrual colic, nephralgia, piles, 
constipation, etc. 

THE FOOT BATH. — Immerse feet and legs in warm water 
to the knees; add gradually from time to time hot water to 
raise the temperature. In this way temperature of bath may 
be raised to 150° without endangering the skin. The nurse, 
however, must be the thermometer, as patient's limbs should 
be constantly rubbed during the bath. 

Valuable in croup, bronchial catarrh, congestion of lungs, 
brain, spasmodic asthma, etc. 

HOT AIR BATH. — Seat patient unclothed on a chair with 
wood-bottom; place around him, including the chair, a 
blanket, tucking it in closely about the neck ; over this place 
a thick comfort in like manner, securing it in place with 
pins. Now put two ounces of Alcohol in a saucer, and set it 
in a deep plate, half filled with water [to guard against acci- 
dent], place this on the floor, under the chair upon which the 
patient is seated, and set fire to the Alcohol. Soon the patient 
will perspire freely, and after doing so for five or ten minutes 
he should be sponged off and dried in a sheet, as advised 
after taking " Wet Sheet Pack." 



POULTICES. 

LINSEED POULTICE. — Stir in boiling water ground flax- 
seed enough to make a thick pap. Spread evenly on muslin 
and smear the surface with a little olive oil or fresh lard 
before applying it. Cover outside with oiled silk and sev- 
eral folds of flannel, to retain moisture and heat. Should be 
applied hot and frequently changed. 

Useful emollient to inflamed and painful parts. 

OATMEAL POULTICES. — May be prepared and used in the 
same way. 

BREAD POULTICE. — Put bread crumbs into milk and sim- 
mer over a gentle fire till reduced to proper consistence. 
Beat smooth with a spoon, then spread on muslin and apply 
hot as can be borne. 

Indicated for the same conditions as the Flaxseed Poultice. 

SLIPPERY ELM POULTICE.— This is made by adding boil- 
ing water to powdered bark of Ulmus Fulva, stirring it con- 
stantly. It is a light, bland, unirritating cataplasm. 

CHARCOAL AND YEAST POULTICE.— To a sufficient 
quantity of brewer's yeast, stir in as much powdered Charcoal 
as it will bear, and apply to the diseased part. 

Used as a stimulant and disinfectant application to gangrenous 
and phagedenic sores. 



ENEMATA. 23 

MUSTARD POULTICE. — Add warm water to equal parts 
of ground Mustard and wheaten or rye flour, stirring until a 
thick paste is formed. This is spread on linen or muslin, 
then covered with gauze and applied to the skin. 

Where a speedy effect is desired, the mustard may be 
mixed with a little water and the white of egg to form a 
thick paste. Spread on muslin and apply directly to skin. 

Used in almost every form of local pain, such as neuralgia, 
rheumatism, pneumonia, colic, etc. 

HOT FOMENTATION.— This is a folded cloth wrung out of 
hot water, applied to the painful part, and covered with oiled 
silk and dry flannel to prevent evaporation. Their utility 
may be increased by impregnating the water with the 
indicated remedy chosen in conformity with the law of similars. 

Useful in acute rheumatism, gout, peritonitis, muscular spasm, 
etc. 

SPONGIO-PILINE. — This is a thick fabric composed of 
sponge and wool, coated on one side with rubber. The 
sponge-surface is wet in hot water, wrung out and applied to 
the diseased parts. This is a very convenient and efficient 
means of applying fomentations, which may be medicated as 
suggested above. 

COLD FOMENTATION.— This is a folded cloth wet in cold 
water, applied to the affected part, and left uncovered to 
favor evaporation. In mechanical and other injuries, cold 
compresses can only do good when used in early stage. When 
congestion or inflammation has occurred, hot compresses 
should be employed. 

Used to prevent congestion, and in the treatment of burns, 
scalds, and frost-bites when applied promptly after the 
injury and kept in constant operation. 

HOT SALT PADS.— Flannel bags half filled with hot salt 
or hot sand, and applied to the affected parts, are excellent 
palliatives in many forms of local pain. 

A rubber bag filled with hot water is also a very convenient 
method of applying dry heat, and will be found far preferable 
to moist fomentations in many cases. 



ENEMATA. 

'this is a well-known method of conveying water and 
other medicinal agents into the intestinal and vaginal canals. 
The best instrument for the purpose is the " Fountain 
Syringe.'* The temperature of the enema may range from 
50° to 110° F., and the patient lying on left side, with hips 
well raised, should receive the injection and retain it long 
as possible. The quantity used must vary according to age 
and circumstances. For an infant, one ounce will suffice; for 



24 THERAPEUTIC KEY. 

child two years, two to four ounces ; for one five to ten years, 
six to eight ounces ; and for an adult, one to two pints. In 
some cases it will be necessary to repeat the clyster several 
times in order to obtain the desired effect. 

WATER ENEMA.— Water, at a temperature of 80° to 90° 
F., forms a simple injection for all ordinary cases of consti- 
pation. 

GRUEL ENEMA. — To a pint of thin gruel or soap-suds, 
add a lump of lard size of hen's egg, or half ounce castor 
oil; mix well and administer hot. Useful in obstinate con- 
stipation and in flatulent and spasmodic colic. 

MUCILAGE ENEMA. — Warm slippery- elm or flaxseed tea 
makes a bland and suitable injection for infants. 

STARCH ENEMA. — Take of clear starch sufficient quantity, 
add boiling water to make the consistence of cream. Useful 
in cholera infantum and dysentery attended with colic and 
tenesmus. Should be given in small doses [one to two ounces]. 



VAGINAL INJECTIONS. 

In the treatment of dysmenorrhea, leucorrhoea, pro- 
lapsus, and other diseases of the genital organs, vaginal 
injections are highly important. The internal indicated remedy 
mingled with the menstruum, may be used with the happiest 
results. 

WARM WATER ENEMA.— Injections of warm water (100° 
F.) will often recall the flow in suppression of the menses and 
lochia. In post par turn hemorrhage, copious injections into the 
uterus of hot water (110°) have beeu very successful. 



ANESTHETICS. 

Test for Chloroform. — If equal parts Chloroform and Sul- 
phuric acid be shaken together in a glass-stoppered vial, no 
color should be imparted to either liquid after standing 24 
hours. Again, pure Chloroform pourel on blotting-paper 
and evaporated, ought to leave no rancid odor behind. 

Caution. — Never give Chloroform or Ether to patient with 
heart disease, phthisis pulmonalis, tumors or abscess of brain. 
Unfavorable subjects are old drunkards, persons with en- 
larged tonsils, swollen epiglottis, and epileptic patients. Make 
provision for plenty fresh air ; have dressing forceps ready 
to grasp tongue, and Ammonia to use if necessary. 

Administration of Chloroform.— Many advise a mixture of 
one part Alcohol, two parts Chloroform, three parts Ether, 
used same as chloroform. Have patient in recumbent position, 



LOCAL ANESTHETICS. 25 

clothes loose, slomach nearly empty. Fold napkin into a cone, 
place small sponge in apex containing 15 drops Chloroform, 
hold about two inches from face ; instruct patient to breathe 
through open mouth slowly and deeply. Administer slowly 
at first, allowing plenty of air. If any choking, remove napkin 
a little further. When first 15 drops are exhausted, repeat 
same quantity, and continue to do this till requisite degree 
of narcotism is produced. Watch the pulse and respiration; 
if either stop, remove napkin and proceed at once 

To Resuscitate Patient.— Lower the head. Pull tongue 
forwards. Open windows. Loosen clothing. Dash cold 
water on face. Shake chest vigorously. Hold Ammonia to 
nostrils. These failing, apply battery — one pole to inner 
Mirface of cheek and other over pit of stomach. Institute 
artificial respiration, about 18 per minute. 

SULPHURIC ETHER.— This agent may be administered 
the same as Chloroform. It is regarded as safer, but not so 
pleasant for patient. Commence with two drachms at first, 
push vigorously, especially in stage of excitement. Keep 
napkin close to face, and exclude air in giving this drug, 
whereas in administering Chloroform allow plenty of air. 

Precautions the same as taken to guard against accidents 
from Chloroform. 



LOCAL ANESTHETICS. 

COCAINE. — This local anaesthetic has been used for most 
part in ophthalmic surgery. It is especially adapted to 
mucous tissues whose sensitive nerves lie near the surface, as 
those of the eye, ear, nose, larynx, etc. 

A few drops of a four per cent, solution may be applied to 
the parts to be acted upon, and repeated at short intervals 
until the parts become insensible to contact. 

INTENSE COLD.— Take a lump of ice, put in a canvas 
bag and crush finely by pounding. Add to this one-half its 
weight common salt and mix quickly. Place in a thin gauze 
bag and lay over the part to be benumbed. Watch the effect 
and do not freeze the parts. 

ETHER SPRAY. — Use in minor operations, in opening 
abscesses, extracting foreign bodies, small tumors, etc. It 
is applied by projecting a stream of atomized pure ether 
upon the parts until they are benumbed. 

COMPOUND ETHER.— To one part Hydride of Amy! add 
four parts of Ether. This is applied by means of an 
atomizer, and will induce perfect insensibility in from ten to 
twenty seconds. 

RHIGOLENE.— This volatile fluid is more speedy and 
certain in its action than ether, is comparatively odorless 
and inexpensive. Used same as ether. 
2 



26 THERAPEUTIC KEY. 

HYPODERMIC MEDICATION. 

The hypodermic use of morphia has been greatly perverted 
by its injudicious employment. Indeed, it is questionable 
whether its discovery has not been a curse instead of a 
blessing to mankind. Its value, however, as a means of 
relieving pain, cannot be denied, and it is the duty of the 
physician to make use of all means in his power to relieve 
the suffering patient. 

The dose of different substances may be as follows : — 



Muriate of Morphine, 
Sulphate of Morphine, 
Sulphate of Atropine, 
Sulphate of Soda, . 
Sulphate of Quinine, 
Tinct. Hyoscyamus, 
Tinct. Cannabis, 



-J- to J of a grain. 

^ to ^ of a grain. 

Too t0 io of a grain. 

grs. ii. 

grs. ii to grs. iv. 

gtt. x to xx. 

gtt. x to xx. 



If the remedy is soluble in water, it will be better to use 
that as a vehicle for the injection. 

Operation, — Having loaded the syringe, pinch up a fold of 
integument between the thumb and forefinger, insert the 
needle well beneath the skin and inject slowly. 



THE ASPIRATOR, 

This is an instrument constructed on the principle of the 
exhausting syringe, and is used for the purpose of with- 
drawing pus and other fluids from internal cavities. The 
needles are hollow and of various sizes to suit requirements. 
It may be used in abscess of the liver, retention of urine, 
ovarian cysts, hydrocephalus, strangulated hernia, hydro- 
thorax, etc. 



SIGNS OF DEATH. 

In all cases of apparent death occurring suddenly or from 
external violence, and whenever there is any doubt in the 
matter, extraordinary precautions should be taken in order 
to settle the question. The cessation of respiration and cir- 
culation (so far as can be observed) does not determine the 
matter, and even the absence of animal heat is not conclusive, 
for life may exist, and recovery take place where this is not 
an attendant. In all doubtful cases the following tests should 
be applied : — 

1st. Apply the Stethoscope to determine if the heart is 
acting. 



ARTIFICIAL RESPIRATION. 27 

2d. Put the body in a dark room, place the hand (with 
fingers close together) between the eye and a lighted candle ; 
if lite is not extinct, hand will show transparent redness as in 
life. 

3d. Tie a cord tightly around a finger; if the end becomes 
swollen and red, life is not extinct. 

4th. Inject a few drops of Aqua Ammonia under the skin; 
if life still exists a red or purple spot will form. 

5th. Insert a bright steel needle into the flesh, allow it to 
remain half an hour ; if life is extinct it will tarnish by 
oxidation. 

6th. Place the surface of a cold mirror over the mouth; if 
moisture condenses on its surface, respiration has not ceased. 

7th. In from 12 to 18 hours after death, eye-balls become 
soft, inelastic, feel flaccid. 

8th. In from 8 to 12 hours after death, hypostasis or con- 
gestion of blood in capillaries begins to form in all depending 
parts of body. 

9th. Putrefaction is positive proof of death, and unless this 
takes place by the end of third day, interment should be post- 
poned until it does. 



ARTIFICIAL RESPIRATION. 

Turn patient on abdomen, one arm under forehead ; raise 
body to empty stomach and air-passages of water or mucus. 

Remove all clothing from chest; lay patient on his back; 
place a bundle of clothing [a man's body will do] under his 
back, to raise stoumch and lower the head; pull tongue 
forward and secure it by tying string over it and under the 
jaw; stand astride or kneel at patient's head; grasp his 
arms below the elbows, and draw them outwards, upwards 
and backwards till they meet over the head; keep in this 
position two seconds, then carry them down to sides of chest 
again till elbows nearly meet over stomach, and press firmly 
for two seconds ; repeat these manoeuvres at the rate of 1G 
to 18 per minute. 

Persevere in these efforts for hours, or until breathing lias 
become restored; then promote the circulation by friction, 
artificial heat, etc. Soon as patient can swallow, give some 
hot milk, beef-tea or coffee to drink. 



PART II. 

PRACTICAL GUIDE IN THE TREATMENT 
OF DISEASE. 



ABSCESS. 

THERAPEUTICS. The best remedies are 

For ACUTE abscesses : Aeon. Ars. Asa. Bell. Bry. Hep. Laeh. 
Led. Merc. Mez. Puis. Rhus. Sil. Sulph. 

For CHRONIC : Aur. Cal. c. Con. Hep. Iod. Lye, Merc. Nit. 
ac. Phos. Sil. Sulph. 

In BONES: Asaf. Aur. *Cal. c. *Cal. phos. Hep. Merc. Nit. 
ac. Phos. *Sil. Sulph. 

In HEPATIC abscesses: Bell. Chin. Hep. Kali. c. Lach. 
*Merc. *Phyto. Podo. Ruta. Sil. 

In SCROFULOUS abscesses : *Bary. c. Bell. *Cal. c. Cal. 
phos. Con. Dul. Hep. Kali. c. Lye. Merc. Nit. ac. Phos. Rhus, 
t. Sil. Staph. * Sulph. 

ACUTE ABSCESS. This is a collection of pus in a cavity 
the result of a morbid process. It usually commences with 
the ordinary signs of acute inflammation, such as fever, 
throbbing pain, redness and swelling, ending in suppuration. 

Internal abscesses generally require the same remedies as 
external. 

T R E AT M E N T, Leading indications. 

ACONITE. The tumor is swollen, red, and shining. Vio- 
lent cutting pains; parts burn, as from hot coals, [Ars.] 
Great nervous and vascular excitement. *Gets desperate 
about pain. *Great fear and anxiety of mind. Aggravation 
in evening, and during night. 

ARSENICUM. The abscess threatens to become gangre- 
nous, and is accompanied with great debility. * Violent 
burning pains; the parts burn like fire, [Aeon.] Restless 
tossing about. * Great thirst, but can drink but little. 
Aggravation during rest; better by motion. 

ASAFCETIDA. The abscess discharges a thin, fetid pus; 
is very painful to contact, especially the surrounding parts. 
*Pains, with numbness of affected parts. Nervous, hysterical, 
scrofulous individuals. 

BELLADONNA. Tumor much swollen, hard, and of an 
erysipelatous appearance. Pressing, burning, stinging or 
throbbing pains, [Hep.] *Pains which appear sudt-'^vV 

(28) 



abscess. zy 

and leave as suddenly. *The parts have a hot, dry sensa- 
tion, with muck throbbing ; gets worse about 3 p. m. Mam- 
mary abscess. 

BRYONIA. Mostly in beginning, when abscess is hard, 
swollen, and feels heavy, [Bell.] The tumor alternates in 
color, is either very red or very pale. *Stitching pains, 
aggravated by the slightest motion. *Hurd, dry stools, as 
if burnt. 

HEP All STJLPH. *Where suppuration is inevitable, [Lach. 
Merc. Sil.] Throbbing pains, frequently preceded by a chill ; 
the tumor hard, hot, and swollen. Scrofulous persons, and 
after the abuse of mercury. 

LACHESIS. Where pus has already formed, or where the 
inflamed portion assumes a purplish hue, or becomes gangren- 
ous, [Ars.] *Symptoms all worse after sleep. If caused by 
introduction of poisonous matter into the system. 

LEDUM. In the early stage, when abscess is distended 
and hard. *Stinging and tearing pains, aggravated by heat. 
Tensive, hard swelling, witli tearing pains. If caused by 
external hurts, splinters, etc. 

MERCURIUS. In commencement, often prevents suppu- 
ration; or after suppuration has taken place, promotes dis- 
charge, [Lach.] Glandular abscesses ; particularly when not 
inflamed, or with intense, shining redness, beating and stinging^ 
[Bell.] Where disease extends to sheaths of tendons and 
ligaments of joints, [see Mez ] 

MEZEREUM. Abscesses t hat occur in fibrous and tendinous 
structures, or where they arise from abuse of mercury. 
Stinging and throbbing pains, worse at night and from con- 
tact or motion. 

PHOSPHORUS. Incipient stage, to prevent formation of 
pus. Especially in mammary abscesses [Bel. *Bry. *Phyto ] 
it facilitates the suppurative process, and guards aga.nst, 
cicatrices. 

PULSATILLA. Abscess bleeds easily, with stinging or 
cutting pains, [Apis.] Violent itching, burning, and stinging 
in periphery of abscess. Pus copious and yellow. After 
violent and long-continued inflammations. *Mild, tearful 
persons; they weep at everything. 

RHUS TOX. Especially abscesses of axillary or parotid 
glands. Stinging or gnawing pains in tumor, which is very 
painful to touch. Discharge of a bloody-serous matter. 
*Pain worse during rest, relieved by moving the affected 
parts, [Ars.] 

SILICEA. Where suppuration is imminent [Hep. Lach. 
Merc], or where discharge becomes fetid, thin, and watery. 
Fistulous openings form, which are very slow to heal. 

SULPHUR. Inveterate cases, when there is a profuse dis- 
charge of matter, with emaciation, hectic fever, etc. Con- 
stant tendency to a return of the disease, [Hep.] Scrofulous 



30 THERAPEUTIC KEY. 

persons who are frequently troubled with boils. *Psoric 
diathesis. *Lean persons who walk stooping. 

LOCAL MEASURES. Poultices relax the parts, soothe the 
pain and promote formation of pus. They should be large, 
light and soft. Linseed-meal or bread and milk generally 
used ; they should be covered with oiled silk to prevent 
getting dry. Hot water dressings are good substitutes for 
poultices. Soon as pus forms, use local ansesthetic and open 
at most dependent point. Support strength by a good nourishing 
diet j rare beef, beef-tea, milk, etc. 



AFTER-PAINS. 

After-Pains, as a general rule, should not be interfered 
with, at least for several hours after delivery, as they are 
caused by uterine contractions in efforts to expel portions of 
membrane or coagula which should come away. 

TREATMENT. Leading indications. 

ARNICA. Sore feeling all through the patient as if from a 
bruise. The pains are not very violent, but there is a bruised, 
sore feeling, with pressure on the bladder and retention of 
urine. After difficult labor. 

BELLADONNA. *Severe bearing-down pains, as if every- 
thing would- protrude, [Nit. ac. *Sep.] Pains come on 
suddenly and leave as suddenly. Fullness and great tender- 
ness of abdomen ; every jar hurts her. Sleepiness, but 
cannot sleep. 

GELSEMIUM. * Uterus as if squeezed by a hand. Numb- 
ness of extremities, uterine cramps extending upwards and 
backwards. 

CAULOPHYLLUM. After protracted and exhausting labor ; 
pains spasmodic, across the lower abdomen, extending into 
groin. 

CHAMOMILLA. Great nervous excitement, with restless 
tossing about. The pains are very distressing, and she becomes 
almost furious. *Very impatient, can hardly answer one 
civilly. Dark lochial discharge. 

CIMICIFUGA. After-pains worse in groins; over-sensi- 
tiveness, [Cham.] She feels the pains very acutely, and 
they make her sleepless, restless and low spirited. 

COFFEA. Great sensitiveness, with general excitability. 
*Violent pains, driving her almost to despair [becomes des- 
perate, Aeon. Cham.] Extreme wakefulness. 

CUPRUM ACET. *Terrible cramping pains, often accom- 
panied with cramps in extremities. Spasms, with nausea 
and vomiting. 

IGNATIA. The pains are cramp-like and pressing, re- 
sembling labor pains, [*Cham.J *Sadness and sighing, 
with empty feeling in stomach. 



AMENORRHEA. 31 

NTTX VOMICA. When pains are aching and more like 
colic; fainting after every pain. Violent contractive pains 
in uterus, [Sec] *Every pain causes an inclination to go to 
stool. Much pain in small of back, worse by turning in bed. 

PULSATILLA. Severe colicky pains extending to back. 
The pains grow worse towards evening ; are too long and 
too violent, [Sec] Bad taste in mouth, with desire to vomit. 
^Persons of a mild, tearful disposition. 

SECALE COR. Excessive uterine contractions, which are 
long continued. *In thin, feeble, scrawny females, or women 
who have borne many children ; feels cold, but does not wish 
to be covered. Thin, offensive lochial discharge. 



AMENORRHEA. 

[Suppression of the Menses.) 

TREATMENT. Leading indications. 

ACONITE. If the result of direct application of cold. 
Congestion of head or chest, with flushed face. Shooting 
and beating pains in head, with delirium or stupefaction. 
* Vertigo with faintness on rising from recumbent position. 
Age of puberty, [Kali. o. Puis.] Young plethoric girls. If 
caused by fright or anxiety of mind. 

APIS MEL. Suppression, wiih congestion of the head. 
*Chlorosis, with puffy, bloated, waxy appearance of face ; 
©edematous swelling of eyelids and feet. Very busy and 
restless; constantly changing from one thing to another; 
very awkward, often breaking things. Aching pain, espe- 
cially in right ovary. 

ARSENICUM. Pale, waxen color of face. Great prostra- 
tion of strength. Loss of appetite; sadness and melancholy. 
Fear of death and being alone. Much chilliness ; wants 
more clothes on, or to be near fire. *Intense thirst, but 
drinks little. *SuiFerings all worse after midnight. 

BELLADONNA. Throbbing headache at approach of 
each menstrual period. Red face, with determination of 
blood to head when stooping. *Bearing-down pain in hypo- 
gastrium as if menses would appear, [see Cham.] *She 
cannot bear light or noise. 

BRYONIA. Swimming in head, with painful pressure in 
temples. Bleeding of nose, when menses should appear, [Bell. 
Puis.] Drawing pains in lower part of abdomen. *Hard, 
dry stools. ^Symptoms all worse from motion. 

CALCARIA CARB. Scrofulous subjects. The menstrual 
period is preceded by swelling and soreness of breasts, 
headache, colic, shiverings and leucorrhoea. *Cold, damp 
feet, and swelling at pit of stomach. * Dizziness on going 
up-stairs. 



32 THERAPEUTIC KEY. 

CAUSTICTTM. Yellow, discolored complexion. Weakly, 
scrofulous subjects with glandular swellings. Melancholy 
moods ; she looks on dark side of everything. Hysterical 
spasms and pinching pain in sacrum. *Leucorrhoea only at 
night, [Amb. g.] 

CHAMOMILLA. Pressure towards genital organs, like 
labor-pains. Cutting colic, and drawing in thighs previous 
to a menstrual period. *She is very irritable, can hardly 
answer one civilly. *One cheek red, other pale, [Aeon. 
Nux.] Passing large quantities of colorless urine. 

CHINA. Pale, sickly complexion. Weakness of diges- 
tion ; fullness and distension of abdomen, particularly after 
eating [Lye. Nux.] *Debility from loss of animal fluids. 
After chagrin, [Cham.] 

COCCULUS. Leucorrhoea in place of menses. *During 
menstrual period she is extremely weak. Sometimes a few 
drops of black blood are discharged. Nervous hysterical 
subjects. 

COLOCYNTH. Amenorrhcea from anger and silent grief. 
*Severe colicky pains which compel one to bend double. 
Great anguish and restlessness. 

CONIUM. Much vertigo, particularly when lying down, 
or when turning over in bed. *At every menstrual effort, 
the breasts enlarge, become sore and painful. Much diffi- 
culty in voiding urine; it intermits in its flow. Great 
weakness after the least walk. 

CROCUS. Sensation as if the menses would appear, with 
colic and dragging down in the direction of the pudendum 
[see Bell.] *Sensation of something alive in abdomen, 
[Saba. Sulph.] Discharge of thick, black, stringy blood 
from the nose, [see Bry.] 

DULCAMARA. Amenorrhcea from exposure to cold, or 
from getting wet, [*Puls.] *At each menstrual period a 
rash appears on the skin; [violent itching of old tetter 
eruptions when menses should appear, Carb. v ] Every 
time she takes cold has urticaria or some other eruption 
on skin. 

GELSEMIUM. Suppression, with sensation of heaviness 
in uterine region. Feeling of fullness in hypogastrium ; 
slight uterine pain and aching across sacrum, as if menses 
would come on. Headache, with great dullness of head and 
vertigo affecting vision. 

GRAPHITES. Suppression of menses, with a sense of 
weight in arms and lower extremities. An occasional show 
of menses, discharge being very pale and scant. Swelling 
and coldness of feet. *Eruptions on skin oozing sticky 
fluid. 

KALI CARB. Amenorrhcea, with anasarca. Pains in 
abdomen resembling false labor-pains. Shortness of breath 
and violent palpitation of heart. *Little sac-like swellings 



AMENORRHEA. 33 

over upper eyelids in morning. Age of puberty, [Aeon. 
*Puls.] 

LILIUM TIG. Amenorrhoea, accompanied with cardiac 
distress or with ovarian pains of a burning or stinging char- 
acter. Prolapsus or other displacements of womb, [Merc. 
Sep. Nux.] Thin, acrid leucorrhoea, which stains linen brown. 
Partial amenia, the menses returning occasionally, and then 
remaining off again. 

LYCOPODIUM. Chronic suppression of menses ; also from 
fright. Sour eructations, with nausea and vomiting ', especially 
in morning. Great fullness in stomach and bowels. *Red, 
sandy sediment in urine. 

NUX MOSCH. Suppression of menses from exposure to 
wet, [Dule. Rhus.] with severe pains in abdomen. *Irregular 
menstruation, blood thick and dark. Sleepiness and inclination 
to faint, *Great dryness of tongue, particularly after sleep- 
ing. Pain in back as if broken and bruised. Enormous dis- 
tension of abdomen after eating. 

PHOSPHORUS. *Spitting and vomiting blood at menstrual 
nisus, [see Bryo.] Menses too late or not appearing, [Puis. 
Sulph.] *Tight feeling in chest, with dry, tight cough. 
*Long, narrow, hard stools, [Canst.] Tall, slender, phtkisicai 
subjects. 

PULSATILLA. ^Suppression, especially from getting feet 
wet, [Dulc] Aching pains over forehead, with pressure on 
vertex. Vertigo, with buzzing in ears. Stitching toothache, 
pains suddenly shifting Palpitation of heart. Pain in 
stomach, with nausea and vomiting. *Constant cNilliness 
even in warm room. *Mild, tearful disposition, with ten- 
dency to sadness, [Ign. Sep.] Symptoms all worse in evening. 

SEPIA. Frequent paroxysms of hysteric or nervous head- 
ache. Toothache, with great sensitiveness of teeth. *Sallow 
complexion or dingy spots on face. Nervous debility and 
great disposition to sweat. *Painful sensation of emptiness 
in stomach, [Ign] Feeble, delicate women. 

SULPHUR. Aching and tensive pain in head, especially 
from occiput to neck. Rush of blood to head, with whizzing 
noise in brain. *Constant heat on top of head, [Graph. — 
Coldness, Verat] Pale, sickly complexion, blue margins 
around eyes. Frequent weak, faint spells through day. 
*She gets very hungry about 11a. m. 

VERATRUM ALB. Nervous headache at every menstrual 
period, with hysterical symptoms. Pale, livid face, and cold 
sweat on forehead. Coldness on top of head, [Sep. — Heat, 
*Sulph.] Cold hands, feet and nose. *Great weakness, 
with frequent spells of fainting. 

AUXILIARY MEASURES. Hot sitz baths will be found 

valuable in sudden suppression of menses from exposure to 

cold or getting wet, especially when there is fullness in the 

head, and bearing down pains in pelvic region. Hot water 

2* 



34 THERAPEUTIC KEY. 

injections will often have a salutary effect in recalling the 
flow in such cases. 

Rubbing, bathing, and proper physical exercise in open 
air should of necessity enter into the treatment. 



ANGINA FECTOaiS. 

TREATMENT, Leading indications. 

ACONITE. *Intense anxiety, with fear of death. Has to 
sit straight up, can hardly breathe. Pulse thread-like and 
feeble. Intense pain in all directions, [see Cimi.] Suffo- 
cative constriction of chest, so distressing that he sweats 
from agony, [Ars.] Flushed face ; pain in region of heart, 
going down left arm. Suitable to strong plethoric subjects. 

AMYL NITRITE. Sharp p ain in cardiac region. Tumult- 
uous action of heart and quick respiration. Sense of fullness 
in temples. *Burning of the ears. Bronchial irritation. 
Some physicians advise inhalations of this remedy. Put six 
or eight drops on a little cotton in small vial, and inhale 
during an attack. 

ANGUSTURA. In lighter forms; chest is in constant 
motion; spasmodic breathing; palpitation of heart. Catting 
shocks in sternum and back, and painful shocks in region 
of heart. 

ARSENICUM. Indescribable agonizing pain in precordial 
region, extending to neck and occiput. Can only breathe 
very gently with his chest stooping forwards. Oppression and 
stitches in precordial region, with anxiety and a fainting 
sort of weakness. V\i\se feeble, irregular, intermittent, [Big.] 
* Restlessness, prostration, intense thirst, drinking iittie and 
often. 

BRYONIA. Attacks from mental excitement or fright 
Sense of great oppression; it seems as if something should 
expand but will not. Cutting pain in right chest ; also a cutting 
pain extending down left arm, [see Aeon.] *Patient exceed- 
ingly irritable. 

CACTUS GR. *Feeling of constriction at heart, as if an 
iron band prevented its normal action. Acute pains in region 
of heart, with difficulty of breathing. Palpitation worse at 
night or when lying on left side. Attacks of suffocation 
with fainting. 

CIMICIFUGA. Intense anxiety about the heart, with pain 
in left shoulder extending down arm and into back. Where 
the attack arises from uterine derangements. 

DIGITALIS. Sharp stitches, or contractive pains in 
region of heart, [Am. Rhus. Spig.] Pulse feeble, irregular, 
spasmodic, slow, intermitting. *Sensation as if the heart 
would stop beating if he moved. Indescribable deathly 



ANGINA PECTORIS. OO 

anguish, the paroxysms keep coming closer together as the 
disease progresses. 

GELSEMIUM. Sudden hysterical spasms ; nervous chills in 
very sensitive subjects. Feeling as though heart would stop 
beating if she did not walk incessantly, with a feeling of 
impending death, [see Dig.] 

HYDROC. ACID. Heart disease, with violent palpitations ; 
long fainting spells, [see Lach.] Feeling of suffocation, with 
torturing pains in chest. Irregular feeble beating of heart. 

LACHESIS. Anxious pain, with beating of the heart. 
Choking, constriction, or rising in the throat, with organic 
disease of heart. Cannot lie down, must sit up bent for- 
wards. *Very distressed after sleeping. 

LAUROCERASTJS. Attacks of suffocation, with gasping 
for breath ; feeling as if he was not going to breathe again. 
Stitches in region of heart. Violent pain in stomach, with 
loss of speech ; cold, moist skin. 

PHYTOLACCA. Fatty degeneration of heart; feeling of 
lassitude and indisposition to move. Lame feeling in left 
side of chest, near cardiac region, with much nervous rest- 
lessness. *Pain extends to right arm or right side, [left arm, 
Blius.] Rheumatic diathesis, [Rhus.] 

RH1JS TOX. Stitches in heart, with painful lameness and 
stiffness of whole body and limbs. Pain extending down left 
arm, [down right arm, Phyto.] Rheumatic diathesis. 

SPIGELIA. * Organic disease of heart. Severe stabbing 
stitches in heart at every beat; pain rapidly passing around 
body from left to right. * Palpitation so violent can be seen 
and heard at a distance, [Dig. Verat. a.] Can lie only on 
right side, with trunk well raised. Worse stooping, bend- 
ing forward, touching stomach, lifting arms, or from any 
motion. 

TABACUM. *Death-like paleness of face, with sick stom- 
ach, features pinched. Icy coldness of legs from knees down. 
Violent constriction in throat, with tightness across upper 
part of chest; cannot speak. * Trembling all over, with 
palpitation of heart. 

VERAT. ALB. *Painful spasmodic constriction of chest, 
[see Caot.] Periodical attacks of contractive, crampy pain 
in left chest, or cutting pain, with excessive agony. Visible 
palpitation of heart, [Dig. Spig.] *Cold sweat, particularly 
on forehead. 

AUXILIARY MEASURES. During an attack, place 
patient's feet in hot bath, and have them rubbed briskly. 
Apply hot fomentations or bags of hot salt to region of heart, 
enjoin perfect quiet, and allow an abundance of fresh air. 

Persons subject to this complaint should be strictly tem- 
perate in their habits, avoid excitement, and all stimulating 
food, drinks, and use of tobacco. 



36 THERAPEUTIC KEY. 

APHTKffi.-CA3fCRUM ORIS. 

T R EAT M E N T. Leading indications. 

ACONITE. Dry, hot skin, with much heat about head. 
Constant restlessness, cries, frets most of the time, bites its 
fist, and has green watery diarrhoea. Excessive sensibility to 
least touch. 

ARSENICUM. The mouth is reddish-blue, and inflamed. 
Fetid smell from mouth ; great restlessness. *Green. 
watery diarrhoea, attended with great weakness. Emacia- 
tion, skin hanging in folds. 

BAPTISIA. Child can swallow only fluids, even a small 
portion of solid food causes gagging. Long-standing ulcer- 
ations of mouth, extending through alimentary canal, with 
watery discharge. *Sore mouth of nursing infants [of 
pregnant and nursing females, Caulo.] 

BORAX. Red blisters on tongue, as if skin were pulled 
off. Shriveling up of the mucous membrane. *The child 
frequently lets go the nipple, and cries as if in pain. Light 
yellow slimy stools. *Fear of falling from a downward 
motion. 

CALC. GARB. Scrofulous children, especially during 
dentition. *Large, open lontanelles, [Merc. *Sil. Sulph.J 
Much perspiration on head and face, [Sil.] Hard, undi- 
gested stools of a light color. *Cold, damp feet. Emacia- 
tion and good appetite. 

CATTLOPEYLLTJM. Especially in pregnant and nursing 
females ; also in children. Eupa. ar. is highly spoken of in 
similar cases. 

CHAMOMILLA. Child starts and jumps much during 
sleep. Wants different things and rejects them when pre- 
sented, [*Bry. Staph.] *Very uneasy, and must be carried 
all the time to be quieted. 

MERCURITJS. Tongue inflamed, swollen and ulcerated on 
edges. The gums bleed, and incline to ulcerate about teeth, 
[see Nit. ac] Very fetid breath. *Profuse secretion of 
saliva in mouth. Dysenteric diarrhoea, with griping and 
tenesmus. 

NITRIC ACID. Mouth full of fetid ulcers, with putrid- 
smelling breath, [Merc] *Ptyalism of a corrosive nature, 
causing fresh ulcers to break out on lips, chin or cheeks. 
Bleeding gums, [Ars. Staph.] * If syphilitic dyscrasia exists, 
or patient has taken much mercury. 

NTJX VOMICA. If disease assumes the character of 
stomatitis. Painful swelling of gums, with bloody saliva. 
Fetid ulcers or blisters in mouth, on gums, palate or tongue. 
* Constipation, with frequent urging to stool. Irritable mood. 

STAPHISAGrRIA. Spongy excrescence on gums and in 
mouth. Vesicles under tongue. Mouth and tongue ulcer- 
ated and covered with blisters. Sickly complexion, with 



APHTHAE. — CANCRUM ORIS. 37 

sunken cheeks, hollow eyes surrounded with blue margins. 
*The aphthous patches bleed easily, and gums are spongy. 

SULPHUR. Thick whitish or brownish aphthous coating 
on tongue. Blisters and aphthae in mouth, with burning 
and soreness. Ptyalism or bloody saliva. Acrid, slimy or 
greenish diarrhoea excoriating the parts, [Cham. *Merc] *The 
child does not take its usual long nap, but wakens often. 

SULPHURIC AC. Mouth appears very painful, and child 
very weak. Vesicles on inner side of cheeks ; ulcers on 
gums. Profuse flow of tasteless saliva. *Diarrhcea with 
great debility, and inclination to sweat ; night sweats. 

HYGIENIC MEASURES. Cleanliness, daily bathing, 
washing out mouth frequently with tepid water, avoidance of 
all sugar-teats, keeping breasts and nipples clean, using 
proper ventilation, taking child into open air and sunlight, 
are the best preventive means. 

Washing out the mouth three or four times a day with a 
weak solution of Borax [grains ji; Avater, 5j] is useful in 
many cases, but should not be pushed too far. 



APOPLEXIA. 

TREATMENT. Leading indications. 

iESCULUS HIP. Severe vertigo, with reeling and stag- 
gering. Vertigo with nausea, dimness of vision, and con- 
fusion of head j thickness of speech ; great weakness, with 
trembling. 

ACONITE. Head hot, carotids throbbing, redness of 
face, [Bell.] Eyes red, sparkling, and prominent, with 
dilated pupils; fixed look. Paralysis of tongue, trembling, 
stammering speech. Great difficulty in swalloicing, [*Bell. 
Hyos.] Pulse full and hard, but not intermittent, l'lcthoric 
habit. 

ARNICA. Head hot, while rest of body is cool. Paraly- 
sis of limbs, especially left side. Loss of consciousness, 
with stupefaction and stertorous breathing, [Opi.] Staring 
eyes and contracted pupils. *Sighing, muttering, and 
involuntary discharge of faeces and urine. Stout, plethoric 
persons. 

BARYTA CARB. Apoplexy of aged persons, and those 
of intemperate habits, [Nux Opi.] Paralysis of limbs, 
right side, [left side, Lach.] Disturbed consciousness, acts 
childish ; inability to keep body erect. 

BELLADONNA. Face swollen, bluish and dark red. 
Veins of head and neck distended. *Visible throbbing of 
carotid and temporal arteries, [Aeon.] Drowsiness with 
loss of consciousness and speech. Paralysis of limbs, right 
side, [left side, Lach.] *Mouth drawn to one side ; difficult 



38 THERAPEUTIC KEY. 

or impossible deglutition. *Loss of sight, smell, and speech. 
Involuntary micturition, 

COCCULTJS. Paroxysm preceded by a stupid feeling in 
head and vertigo. Convulsive motions of eyes. Paralysis, 
especially of lower limbs, with insensibility. *Head and 
face hot, feet cold. 

GELSEMITJM. Threatened or actual apoplexy, with 
stupor, coma, and nearly general paralysis. Headache, 
with nausea, tightness of brain; giddiness; tendency to 
stagger, with dimness of vision, [see JEsc] Vertigo and 
intense passive congestion to head, with nervous exhaustion. 

HYDROCY. AC. Features spasmodically distorted ; eyes 
fixed and turned upwards; pupils immovable; breathing 
stertorous, [Opi.] Pulse almost imperceptible. *Paralysis 
of oesophagus; fluids pass down throat with a gurgling 
sound. 

HYOSCYAMTJS. *Sudden falling down with a shriek. 
Loss of consciousness and of speech ; foam at mouth. Con- 
striction of throat, and inability to swallow, [Bell.] 
Brown-red, swollen face, and staring distorted eyes, with 
dilated pupils. Paralysis of bladder and sphincter ani. 
*Twitching and jerking of all muscles in body. 

LAGHESIS. Attack preceded by absent-mindedness or ver- 
tigo. Apoplexia with paralysis of left side, and coldness of 
hands as if dead. Mouth drawn to one side, [*Bell.] *Can- 
not bear anything to touch his neck. Entire inability to 
swallow. Climacteric period, [Puis.] 

LAUROCERASUS. Sudden attack of apoplexia where 
patient falls down without any precursory symptoms. 
Eyes staring, or lightly closed ; pvpiU dilated, or contracted 
and immovable, [Hyd. ac] Slow, feeble moaning, or 
rattling breathing. 

NUX VOMICA. The paroxysm is preceded by vertigo, 
with headache and buzzing in ears, or nausea with urging 
to vomit. Stupefaction, with stertorous breathing. * Par- 
alysis of lower jaw, and often lower extremities, which are 
cold and without sensation. Persons of sedentary or intem- 
perate habits. 

OPIUM. *The patient lies in a state of sopor and uncon- 
sciousness, with half-open eyes and dilated pupils. Ked- 
ness, bloatedness, and heat of face. *Respi^ation labored, 
snoring, and rattling. Convulsive motions of extremities, or 
tetanic stiffness of whole body, [Nux.] *Slow pulse, [Verat. v.] 

PULSATILLA. Stupefaction and loss of consciousness. 
Bloated and bluish-red face. Loss of motion, violent palpi- 
tation of heart, and almost complete suppression of pulse. 
Restless sleep and tossing about. Amenorrhoea, *Persons 
of a mild, tearful disposition. 

VERATRUM V. Congestive headache; he becomes stupid, 
has ringing in ears, bloodshot eyes, thickness of speech. 



APPARENT DEATH. — ASPHYXIA. 39 

hot head. Full, slow, hard pulse, [see Opi.] Convulsions, 
dimness of vision, with nausea and vomiting. 

AUXILIARY MEASURES. When an attack occurs, 
loosen all tight clothing, place patient on side or face to 
prevent tongue from falling back ; have head and shoulders 
well elevated ; allow plenty fresh air. Put feet in warm 
bath, add hot water and make temperature 130°. Apply 
hot fomentations to head. Soon as patient can swallow give 
indicated remedy. In severe cases, if head and neck are 
livid, apply dry cups to the spine. 

HYGIENIC. Persons subject to apoplexy should avoid 
all stimulating food 'and drinks, over-eating, excitement and 
exposure to hot sun, heated rooms, and excesses of every 
kind. 



APPARENT DEATE.-ASPHYXIA. 

TREATMENT of apparent death. 

ASPHYXIA FROM N0XI0U3 GASES. Tf a person has 
become insensible from inhaling Carbonic Acid, Carbonic 
Oxide, Fumes of Burning 1 Charcoal, Chlorine, or Sulphuretted 
Hydrogen Gas, expose him at once to fresh air. Bathe face 
and breast with vinegar, and let him inhale the vapor. Give 
strong coffee, apply cold water to head, and warmth to feet. 
If necessary, have recourse to the method of resuscitation 
explained under "Apparent Death from Drowning" or 
apply positive pole of battery to upper part of spine, and 
negative pole on chest, over diaphragm. 

If there is congestion to head, loss of consciousness, 
throbbing carotids, and red, bloated face, g.ve Bell. If 
face is purplish and swollen, with soporous sleep, sterto- 
rous breathing, and vomiting, give Opi. If patient is 
excited, talks much, complains of shooting pains, feels 
giddy when lying down, give Coffea. 

ASPHYXIA FROM CHLOROFORM, ETHER SULPHURIC, 
ETC. Place body in a horizontal position, lower the head; 
open windows; loosen clothing; dash cold water on face: 
shake chest vigorously, and hold Ammonia to nostrils. 
Introducing a piece of ice into the rectum has proved salutary. 
These failing, apply Galvanic Battery ; one pole on throat, 
the other over ensiform process, keeping up the current for 
hours in severe cases. The method of inducing artificial 
respiration, explained under "Apparent Death from Drown* 
nig." should likewise be tried. 

After breathing is established, and if patient complains 
of chilliness, and a sense of intoxication, nausea, vomiting, 
and quick pulse, give Nux v. ; it' pulse is slow, give * Opium 
or Verat. v. 



40 THERAPEUTIC KEY. 

ASPHYXIA FROM COLD. Always place body in a 
cold room, and rub with snow, or bathe in ice-cold water, 
until limbs become soft and flexible, then place in a dry bed, 
and rub briskly with flannel, at same time have recourse to 
artificial respiration, explained under " Asphyxia from 
Drowning" Soon as there are signs of returning life, give 
small injections of coffee without milk, and if patient can 
swallow, give him spoonful doses of coffee. 

For the severe, burning pains which usually follow resus- 
citation from intense cold, Aeon. Ars. Carb. v. or Bry., will 
be found sufficient. 

ASPHYXIA FROM DROWNING. The length of time that 
a body may remain under water, and then be restored to 
life, has been variously estimated. Some say that no 
recovery has taken place after complete submersion for five 
minutes. On the contrary, cases are recorded that have 
been restored after submersion for half an hour and longer. 
Recent experiments have shown that animals bled to death 
may be restored to life eighteen hours thereafter by the 
transfusion of bloud into the. veins, and a resort to artificial 
respiration. 

TREATMENT. Place patient on abdomen, one arm under 
forehead; raise body to empty stomach and air-passages of 
water or mucus. Remove all clothing from chest. Lay 
patient on his back, place a bundle of clothing [a man's 
body will do] under his back to raise stomach and lower 
the head. Pull tongue forward and secure it by tying string 
over it and under the jaw. Stand astride or kneel at patient's 
head; grasp his arms below the elbows, and draw them out- 
wards, upwards and backwards till they meet over the head ; 
keep in this position two seconds ; then carry them down to 
sides of chest again till elbows nearly meet over the stomach 
and press firmly for two seconds. Repeat these manoeuvres 
at the rate of 16 per minute. 

Persevere in these efforts for hours, or until breathing has 
become restored, then promote the circulation by friction, 
artificial heat, etc, Soon as patient can swallow, give some 
hot milk, beef-tea or coffee to drink. 

In addition to the mechanical means resorted to, a dose 
of Lach. may be placed upon the tongue, or administered 
as an injection. Tart. e. is also a valuable remedy in these 
cases. 

ASPHYXIA FROM HANGING, CHOKING, ETC. Endeavor 
to induce artificial respiration by same method as recom- 
mended for asphyxia from drowning, and give Opi. or Tart. 
e. bv injection. 

ASPHYXIA FROM LIGHTNING. Dash cold water on head, 
face, and whole body ; pour it on head from a height, If this 
doe3 not revive, place the naked body in a freshly-made 
opening in ground, in a half-sitting posture, and cover it all 



ARTHRITIS. 41 

over, except face, with fresh earth. Give Nux v. as soon as 
there are any signs of returning life. For blindness that 
sometimes follows, give Phos. 



ARTHRITIS. 

TREATMENT- Leading indications. 

ACONITE. Synochal fever. The parts affected are swollen, 
red, shining. Tearing or stitching pains, less when moving 
the parts, [*Rhus.] *The pains are intolerable at night, 
the patient becoming desperate. 

ARNICA. Hard, red swelling of big toe joint. Violent 
pains as if sprained or contused, with a sensation as if 
resting upon something hard, [Bapt.] *Great fear of being 
struck or touched. Aggravation by moving the parts, 
[ * Bry . ] Aft er mechanical injuries. 

ARSENICUM. Swelling of feet, hot, shining, with burn- 
ing red spots. *Burning pains — the parts burn like fire, 
[Aeon.] Wants to be in warm room. Great anguish, 
restlessness, and fear of death, [Aeon] Intense thirst, but 
drinks little. Symptoms all worse at night, particularly 
after midnight, [*Rhus t.] 

AURTJM MUR. *Continuerl gnawing-boring pain deep in 
joints after the inflammatory symptoms have subsided. 
After abuse of mercury. 

BELLADONNA. Wide-spreading redness and swelling of 
the parts, like erysipelas. *Stitching, burning, and throb- 
bing pains, which come on suddenly and leave as suddenly. 
Throbbing headache. *Sleepiness, but cannot sleep, 
[Lach.] Worse 3 p. m. 

BRYONIA. Red or pale tensive swelling, particularly of 
joints. *Stitching, tearing pains, aggravated by motion 
and relieved by rest, [reverse, Rhus.] *Patient wants to 
remain perfectly quiet. Extremely irritable ; everything 
makes him angry. *Dry, hard stools, as if burnt. Dry 
mouth and lips. 

COLCHICUM. Little or no swelling of affected part ; the 
skin is rose-colored, and leaves a white spot under pressure 
of finger. *Paroxysms of tearing, stitching, jerking pains, 
particularly in finger joints. *Urine dark and scanty, c;c- 
positing a whitish sediment. Pains intolerable at night, 
[Aeon.] 

FERRTJM MET. The patient has a pale, consumptive 
look. Several joints are affected at same time; pains vio- 
lent, stinging and tearing, obliging him to move parts con- 
stantly, [Rhus.] *The least emotion or pain produces a 
red. flushed face. 

MERC. VIV. Red and hot swelling of affected joints. 
Pains drawing and lacerating, or joints feel as if dislocated; 



42 THERAPEUTIC KEY. 

worse in cold, damp weather, and at night, [Rhod.] *Muck 
perspiration, which affords no relief. 

NUX VOMICA. Pains tensive, jerking, or pulling, worse 
in morning, from mental exertion, from motion and slight 
contact; but strong pressure relieves, [Nat. c] *Persons of 
intemperate or sedentary habits, and those who live on rich 
and highly seasoned food. Constipation, or morning 
diarrhoea. 

PHOSPHORUS. Arthritic affections of wrist and finger- 
joints, [knee-joint, Arn. Rhod.] Pains as if lacerated or 
sprained, worse early in morning or in evening. *Long, 
narrow hard stools, very difficult to expel. ^Sensation of 
weakness and emptiness in abdomen. Lean, slender persons, 
[Nux.] 

PULSATILLA. Red and hot swelling of parts, particu- 
larly of knee joints and feet. The pains are tearing, stitching, 
burning. ^Erratic pains, shifting rapidly from one joint to 
another. Worse towards evening, or at night. *Craves fresh 
cool air ; worse in a warm room, [better, Ars.] *Persons 
of a mild, tearful disposition. __ 

RHUS TOX. Rheumatic gout; the joints are red, shining, 
and swollen. Stiffness and lameness of affected parts. The 
pains are tearing, burning, or as if sprainejl, [Am.] * Aggra- 
vation on first moving limb after rest, or during rest; relieved 
by motion, 

SABINA. Swelling, redness, and stitches in big toe. No- 
dosities of joints, [Graph.] Pains tearing and stinging, 
almost insupportable when limbs hang down ; relief in open air. 

AUXILIARY MEASURES. During an attack have limb 
elevated, and apply hot water compresses to the parts. Cloths 
wrung out a solution of Arnica, [10 drops to the ounce,] 
and applied where this remedy is indicated, will afford great 
relief. In some instances, warm fomentations of hops will 
be found very efficacious. 

HYGIENIC Diet very important. Food easily digested 
should be chosen, consisting of vegetables, fruits and farina- 
ceous articles. Milk-cure has done good in some cases. All 
alcoholic beverages should be strictly prohibited. 

Flannel should be worn next the skin throughout the year; 
the body frequently bathed, and moderate exercise taken 
daily in the open air. 



ASCARIDES.-SEAT-WORMS. 

This variety of parasite is a source of great annoyance, 
especially to children. They inhabit for most part the 
rectum and folds of mucous membrane at the verge of the 
anus, and cause intolerable^itching, pain and tenesmus. In 
females they sometimes crawl into the urethra and vagina, 



ASCITES. — DROPSY. 43 

develop in large numbers, and cause great irritation and a 
discbarge of mucus. 

TREATMENT. Leading indications. 

ACONITE, intolerable itching and tingling at the anus, 
throwing child into fever. Urging to stool, with discharge 
of slime. Great restlessness. 

CALC. CARB. Pale, bloated face, with swollen abdomen and 
good appetite. *Itching of anus, commencing towards bed- 
time. Scrofulous habit. 

MERCURIUS. Greediness for food, and still grows weaker. 
Fetid breath, [Nux.] *Slimy, bloody stools with tenesmus. 
Profuse perspiration, 

NUX VOM. Itching of anus, worse when sitting. Worms 
crawl out on external parts. *Blind or bleeding piles, 
[Sulph.] Constipation; sedentary habits; high-livers; very 
irritable. 

SULPHUR. *Creeping, biting in rectum. Passage of 
ascarides and taenia. Mausea before meals, and faintness 
before dinner. *Early morning diarrhoea. Extremely fretful. 

TEUCRIUM. * Terrible itching in the anus from seat- 
worms, [Urti. ur.] 

LOCAL MEASURES. On account of the intolerable 
itching and annoyance caused by these intestinal parasites, 
a variety of local remedies have been used for the purpose 
of obtaining relief. Injections of cold water, salt and water, 
vinegar and water, lemon juice, etc., have been found useful 
in allaying the itching. Injections of turpentine [20 to 30 
drops in 2 ounces mucilage of starch] will settle the little 
villains instanter. A solution of carbolic acid [gtt. xv. aq. 
ferv. ^iv.] injected into the rectum, and the parts well washed 
with this solution, we have found very efficacious. After 
this injection rectum should be well washed out with warm 
water. Insert just within the anus a pledget of lint soaked 
in a solution chloral [1 to 50], and repeat daily, is highly 
commended. Anoint anus and parts around with lard or 
olive oil to prevent propagation of ascarides. 



ASCITES.-DEOPSY. 

TREATMENT. For dropsical effusions in 

The ABDOMEN: *Apis. *A?o. can. Ars. Aspar. Bry. Chin. 
Dig. Hell. Kali c. Lach. Lye. Sene. Sulph. 

The CHEST: Apis. Apo. can. *Ars. Bry. Colch. Dig. Kali 
0. Lach. Lye. Spig. Squil. Sulph. Tart. e. 

The JOINTS : Ant. Ars. *Bry. Cal. c. Con. *Dig. Iod. Kali 
hy. Merc. Sil. *Sulph. 

The OVARIES: *Apis. Ars. Bry. Boll. Chin. *Iod. Lach. 
Lyco. Plat. *Prun. spi. Sep. Stapli. 



44 THERAPEUTIC KEY. 

The best remedies for dropsical effusions 

After ANIMAL FLUIDS, loss of: Apo. c. *Chin. Ferr. 
Helon. Lyco. Merc. Sulph. 

After DIPHTHERIA: *Apis. Ars. Ascle. syr. BelL Cal. 
chlor. *Merc. iod. Sulph. 

After ENTERITIS : Apis. *Ars. Dig. Dulc. *Chin. 

After EXANTHEMATA, suppression of: Apis. Ars. Bry. 
Dig. Hell. Rhus. Sulph. Verat. v. 

After INTERMITTENT fever : *Ars. Chimaph. Dull.*Ferr. 
*Hell. Lach. Merc. *Nux v. Sulph. 

After MERCURY, abuse of: Chin. Dulc. *Hep. *Nit. ao. 
Phyto. Sulph. 

After SCARLET FEVER : Apoc. * Apis. Ars. Ascl. syr. Bell. 
Chin. Colch. Dig. *Hell. Helon. Scill. Sene. 

Leading indications, 

APIS MEL. Dropsical effusions, with waxy paleness of skin, 
[Ars.] *Dropsy of right ovary, [Bell.] Great soreness in 
abdominal walls, [Apo. can.] *Stinging, burning pains in 
different parts of body. Must sit straight up to get any 
ease, [Ars.] *Urine scanty, dark, like coffee-grounds, 
[*Hell. Lach] Complication with scarlet fever, uterine 
tumors, etc. 

APOCYN. CAN. General dropsy, with ^sinking feeling at 
pit of stomach. Bruised feeling in abdomen, [see Apis.] 
Irritable condition of stomach ; obliged to sit up ; lying 
down produces violent dyspnoea, [Ars.] ; urine very scanty, 
thick, yellow and turbid. After scarlatina, [Apis. Ars.] 

ARSENICUM. The skin, particularly that of face, looks 
livid, pale or greenish. Dropsical swellings of abdomen and 
extremities. *Great debility and prostration. Faint feel- 
ing from slight motion. Suffocative spells, especially at 
night. *Great thirst, but drinking but little, [Apis. Chin.] 
Anxiety, restlessness, and fear of death. Dropsy after scarla- 
tina, and when complicated with heart disease. 

ASPARAGUS. Countenance pale, wax-like, and bloated. 
Expression of anxiety and distress. Visible throbbing of 
heart, especially at night. Great fullness of chest. Urine 
scanty, straw-colored aud offensive. Advised in dropsies as 
an article of food. 

BRYONIA. Lower eyelids cedematous, [upper lids Kali 
c] Lips bluish, dry and cracked. Stitching pains in 
region of heart. Wants to lie perfectly quiet, [Bell.] Great 
thirst and scanty urine. Very irritable. Constipation of 
dry, hard stools. 

CHINA. Countenance pale or sallow, sunken and sickly. 
General debility. Organic affections of liver and spleen, 
[Ars. Ferr.] Great thirst, drinking little and often, [Apis. 
Ars.] In old people [Kali c], and where it arisc3 from loss 
of animal fluids, [Ars. Ferr.] 



ASCITES.— -DROPSY. 45 

COLCHICUM. Face yellow and (edematous. Swelling of 
feet and legs, [Ars. Bry.] Skin dry and cold, or alternating 
with heat during night. Visible palpitations of heart, [Ars. 
Dig.] Pulse full and hard, or quick and small. Scanty dark- 
colored urine. 

CONVOLVULUS. Abdomen filled with water. Urine almost 
entirely suppressed. Weakness, with a good appetite ; could 
eat much if there was room for it. 

DIGITALIS. Doughy swelling, which easily yields to 
pressure. Paleness of face, blue lips, and swelling of 
eyelids. Hydrothorax originating in organic disease of 
heart. *Strong visible pulsations of heart, and irregular 
pulse, [Ars. Spig.] Dropsy of knee joint and scrotum. 

HELLEBORUS. General anasarca, acute cases. Throbbing 
or compressive headache. Oppression at chest and stomach. 
Cramp-like pains in abdomen. Frequent desire to urinate, 
with scanty emissions; *after standing the urine looks like 
coffee-grounds, [Apis. Lach.] After scarlet and intermit- 
tent fevers. 

KALI CARB. Dropsy, especially of old people, [Ars. 
Chin.] In complication with liver and heart diseases. 
*Stitching pains. Swelling over the eyelids. 

LACHESIS. Dropsies complicated with liver, heart and 
spleen diseases, [Chin. Kali c] *Left ovary swollen, with 
pressing, stitching pains, [see Apis.] *Can bear no pres- 
sure upon uterine region. Urine black and scanty. Worse 
after sleeping, [Apis.] 

LYCOPODIUM. Upper portion of body emaciated, while 
lower is greatly swollen. *One foot cold, the other hot, [one 
hand hot, the other cold, Musch.] Oozing of water from 
sores on feet. * Urine scant, with sandy sediment, [Phos. 
Sep.] After abuse of alcoholic liquors, [Nux.] 

SENECIO. Abdomen very tense. Feet and legs swollen, 
[*Ars. Bry. Colon.] Pain in lumbar region, and in ovaries, 
[*stinging pains in right ovary, *Apis. Bell.] Urine scanty 
and high-colored, or profuse and watery. 

SULPHUR. Dropsical, burning swelling of external parts. 
Bluish spots on skin; it is dry and husky. *Greatly ex- 
hausted without any apparent cause. After suppressed itch 
and other cutaneous eruptions. 

PARACENTESIS ABDOMINIS. This operation is fre- 
quently called for in advanced stages of dropsy, to palliate 
patients' sufferings. Permanent relief sometimes follows 
these tappings. 

Operation. Patient seated on side of bed or in a chair. 
Bladder must be empty. Mark the spot exactly in median 
line where abdomen is to be pierced. Apply a broad 
bandage around abdomen, cross ends behind and give into 
hands of two assistants. Make an opening in centre of 
band, through which to operate. With a trocar in canula 



46 THERAPEUTIC KEY. 

and end of forefinger about two inches from point of instru- 
ment, plunge it through linea alba, then withdraw trocar, 
leaving canula in for fluids to escape through. Draw off 
fluids slowly, assistants tightening bandage as fluids escape. 
Having done, cover wound with adhesive plaster and com- 
press, pin bandage tightly around abdomen. 



ASTHMA. 

TREATMENT. Leading indications. 

ACONITE. Shortness of breath, especially when sleeping, 
Dyspnoea, with inability to take a deep breath. Spasmodic^ 
rough, croaking cough, with constriction of windpipe, 
*Great fear and anxiety of mind, with nervous excitability. 
*Fear of death [Ars.], predicts the day he will die. 

AMBRA. It is said that amber beads worn around the 
neck will prevent "hay asthma." It has succeeded in many 
cases. Internally, it is advised for children and old persons. 

ARSENICUM. .Anxious and oppressed shortness of 
breath, with labored breathing, particularly when ascend- 
ing an eminence. Attacks of suffocation, especially at night, 
in evening, or when lying down. *Great anguish, extreme 
restlessness, and fear of death. *Drinks often, but little at 
a time, [Apis. Chin.] *Cannot lie down for fear of suffoca- 
tion. Wants to be in a warm room. Anaemic persons, 
[plethoric, Bell.] 

BELLADONNA. Paroxysms mostly in afternoon or 
evening. *Sensation of dust in lungs, better bending head 
back, and when holding breath. Face and eyes red, head 
hot. Dry, spasmodic cough, especially at night. Uneasiness 
and beating in chest. *Sleepiness, but cannot sleep. Pleth- 
oric individuals and young people. 

BROMITJM. Gasping for breath, with wheezing and rat- 
tling in larynx and spasmodic closure of glottis. Sensation 
as if air-passages were full of smoke ; constriction of chest, 
with difficulty of breathing; must sit up in bed. * Asthma of 
sailors, as soon as they go ashore; affections begin in 
bronchia and ascend to larynx. 

BRYONIA. * Patient wants to remain perfectly quiet, 
worse from least exertion. Frequently dry cough, or cough 
with expectoration of a quantity of mucus. Stitches in 
chest, especially during an inspiration, or when coughing, 
[Aeon. Bell.] *Sitting up in bed causes nausea and faint- 
ness. *Dry, hard stools. 

CHAMOMILLA. Oppression in chest, as from incarcer- 
ated flatulence in epigastrium. Hoarseness and cough from 
rattling mucus in trachea, [Ipe.] *Much hot perspiration 
about face and head, \cold perspiration, Ars. *Verat.] One 



ASTHMA. 47 

cheek red, other pale. *Very impatient, can hardly 
answer one civilly. Especially adapted to children; they 
are very cross, and want to be carried all the time. 

CHINA. Suffocative fits, as from mucus in larynx, in 
evening in bed. Difficult inspiration and quick expiration. 
*The patient appears as if dying. Cough, with difficult 
expectoration of clear, tenacious mucus, [Ferr.] Worse at 
night and after drinking. *Better every other day. 

EERRUM. Asthma most violent when lying down, 
obliging one to sit up, [Ars.] Spasmodic cough with expec- 
toration of transparent, tenacious mucus, [Chin.] *With 
every paroxysm of coughing, face becomes fiery red. 
Always better when walking slowly. 

IPECAC. Spasmodic asthma, with violent contraction in 
throat and chest. Contraction of chest with short panting 
breathing. *Rattling noise in bronchial tubes during 
inspiration. ^Suffocation threatens from constriction in 
throat and chest; worse from least motion, [Bry.] *Nausea 
with a feeling of emptiness in stomach. 

KALI CARB. Difficult wheezing respiration. Spasmodic 
asthma, worse about 3 A. m., relieved by sitting up and 
bending forward, resting head on knees. Cough, excited by 
tickling in throat, with sourish expectoration, or of blood- 
streaked mucus. * Great aversion to being alone. 

LACHESIS. Shortness of breath, after every exertion. 
Tightness in chest, with inclination to vomit. *Can bear 
nothing to touch larynx, seems as though it would suffocate 
him, [Apis.] * Aggravation after sleeping, and during rest. 

LOBELIA IN. The attack is preceded or accompanied by 
a kind of *prickly sensation through whole system, even to 
ends of fingers and toes. *Sensation as of a foreign body in 
throat, impeding breathing and deglutition. Nausea Midi vom- 
iting, with a sense of great emptiness in stomach, [Ipe.] 

PHOSPHORUS. Loud panting respiration. Spasmodic 
constriction of chest, [Aeon. Ars.] *Complete loss of voice. 
*Sensation of weakness and emptiness in abdomen, [Ipe.] 
*Long, narrow, hard stools, very difficult to expel. Tall, 
slender people. 

SAMBTJCTJS. Violent dyspnoea, with anguish and danger 
of suffocation, especially when lying down. *Nightly suffo- 
cative paroxysms, with spasmodic constriction of chest, 
[Phos.] Mucus rattling in chest. Especially adapted to 
children, [Cham.] 

SILPHIUM LAC. Wheezing in chest during an inspiration. 
Scraping, tickling, and irritation in throat ; sick, faint feeling 
in stomach. Moist cough, with copious expectoration of 
white frothy mucus. Especially in old people, [Ars.] 

SPONGIA. * Difficult respiration, as if to breathe through 
a sponge. Wheezing respiration or slow and deep breathing, 
as if from debility. * Awakens often in a fright, and feels 



48 THERAPEUTIC KEY. 

as if suffocating. Hoarse, hollow, wheezing cough. Cannot 
lie down. 

SULPHUR. Attack comes on during sleep, or in evening, 
with tightness across chest, and a sensation as of dust in air- 
passages. Dry cough with hoarseness, or loose cough with 
soreness and pressure in chest. *Frequent weak, faint 
spells. ^Constant heat on top the head. 

TARTARUS EM. Anxious oppression, difficulty of breath- 
ing and shortness of breath, with desire to sit erect, [*Ars.] 
*\Vhen patient coughs, it seems as if bronchial tubes were 
full of phlegm, but none comes up, [*Ipe.] Coldness of sur- 
face, with clammy perspiration. 

VERAT. ALB. Attack mostly occurs in cold, damp weather, 
and early in morning. Anguish, suffocation, and oppression 
about heart. Coldness of nose, ears, and lower extremities. 
*Cold sweat on forehead [hot sweat, Cham.] with great 
prostration. 

For HAY ASTHMA: Ailanth. Allium cep. Ars. Arum tri. 
Euph. Lobe. in. Mosch. Sang. Sili. Sticta. 

AUXILIARY MEASURES. Among the various remedies 
employed to relieve the severity of an attack are: Stramonium, 
Nitrate of Potash, Chloroform, Ether, Amyl Nitrite, etc. 
Stram. is used by smoking the dried leaves. Nitrate of Potash 
by soaking coarse paper in a saturated solution, dr, :f 
thoroughly and inhaling the fumes while the paper is burn- 
ing. Chloroform and Ether are administered by inhalation. 
Amyl Nitrite is used by putting 3 or 4 drops on a handkerchief 
and inhaling it; this often gives prompt relief — should be 
used cautiously. Pilocarpin is strongly recommended; ten 
drops of a 2 per cent, solution is injected into the arm. 
Grindelia robusta is highly extolled at present in this disease. 
R. Fl. Extr. Grindelia robusta, gji., Glycerine, gj., Aq. 
font. ^ji. Mix and give a teaspoonful every hour till 
paroxysm is relieved. 



ATROPHY OF CHILDREN. 

TREATMENT. Leading indications, 

ABROTANUM. *Child cross, depressed, very peevish. 
Face wrinkled as if old, [Opi.] *Ravenous appetite, all the 
while emaciating. Histended abdomen. *Food passes undi- 
gested. *Skin flabby, hangs loose. 

JETHUSA C. The child throws up its milk soon after 
nursing, with great force, suddenly — then falls asleep as if 
from exhaustion, to awaken for a fresh supply. The milk 
disagrees ; aphthse in mouth. 

ARSENICUM. General emaciation, with dry parchment- 
like skin. Pale oedematous swelling of face. Sunken eyes 
with blue margins. * Feverish heat with desire to drink 



ATROPHY OF CHILDREN. 49 

often, but little at a time. Great restlessness, particularly 
at night. Painful, offensive, undigested stools. Prostration 
and coldness of extremities. 

BARYTA CARB. *Swelling and induration of glands. 
Emaciation, bloated face, swollen abdomen, and constant, 
desire to sleep. Indisposed to work or play. *Scrofulous 
children that do not grow. 

BELLADONNA. Glandular swellings painful or suppur- 
ating. Eyelids inflamed and ulcers on cornea. *Ohild 
sleepy, but cannot sleep. *Sudden starting and jumping 
during sleep. Precocious children. 

BRYONIA. The child throws up its food immediately 
after taking it, [Ars.] Mouth and lips very dry, with thirst 
for large quantities of water. *Child very irritable and 
wants to be quiet; feels worse at every hot spell, *Dry, 
hard stools, as if burnt. 

CALG. CARB. Large head with open font anelles\ [Merc. *Sil. 
Sulph.] Dry flabby skin. Enlargement and hardness of 
abdomen. ^General emaciation with good appetite, [See 
Abrot.] Diarrhoea, with clay-colored stools. *Cold, damp 
feet. *Much perspiration about head in large drops, [Merc. 
Sil.] Cough, with rattling mucus in bronchia. 

CHINA. Pale, sickly appearance. Enlargement of liver 
and spleen. Copious sweats, especially at night; great 
debility and prostration. * Painless, undigested, offensive 
stools. *Abdomen distended with flatulence. 

MERCTJRIUS. Yellow, earthy color of face. Large head 
and open fontanelles, [*Cal. c] Swelling and suppuration 
of glands. *Slimy or bloody stools, with much straining. 
*Profuse night sweats. Child is never so well during wet 
weather. 

PHOSPHORUS. Pale and bloated face. Sunken eyes, with 
blue circles under the same, [Ars.] Dry, hacking cough. 
Diarrhoea, with white, watery, undigested stools. Great 
debility and oppression after least exercise. *Children of 
tall, slender stature. 

PULSATILLA. The child seems to be very changeable ; 
gets better for a time, and then without any apparent cause 
gets worse. *Diarrhoea, especially at night, no two stools 
alike, [Sulph.] * Worse towards evening ; better in open air. 
Pale face, blue eyes. 

RHUS TOX. Herpetic eruptions on face. Swelling and 
induration of glands. Diarrhoea, with thin, red mucous stools ; 
great appetite. *The child always gets worse after midnight. 

SARSAJ»ARILLA. *Fully developed marasmus. Great 
emaciation; skin hangs in folds; the face is shrivelled; 
aphthse in mouth, and herpes on the skin. 

STAPHISAGRIA. Hollow eyes, with weary look. Swelling 
of submaxillary and cervical glands, [Bary. c] Unhealthy, 
readily ulcerating skin. *Cauine hunger, even when stomach 
is full of food. 
S 



50 THERAPEUTIC KEY. 

SULPHUR. The child frequently awakens from sleep 
with screams. Great voracity, wants to put everything in 
mouth. ^Diarrhoea, excoriating anus, [Ars. Cham. *Merc] 
*Copious morning sweats, after waking. Unhealthy skin. 



BED-SORES. 

Bed-sores are the result of long-continued pressure on 
prominent parts of the body, as the sacrum, brim of ilium, 
great trochanter and spine, caused by long confinement in 
bed. The parts first become red, look rough, then ulcerate, 
or turn black and mortify. 

TREATMENT. On the first appearance of the sores, 
they should be bathed with a weak solution of Arnica, and 
the pressure removed by a change of position or the use of 
circular air-cushions. 

If the part becomes ulcerated, a linseed-meal poultice may 
be applied to hasten separation of the slough, after which 
it should be dressed with carboiated Calendula. 

Sponges wet in hot and cold water applied alternately to 
the sores, are said to be very successful. Each sponge 
should be allowed to remain on about one minute, and the 
entire time occupied from 10 to 15 minutes. Should be 
repeated several times daily. 

GALVANISM. This is said to be singularly successful. 
"A thin silver plate, not thicker than paper, is cut exact size 
and shape of sore, a zinc plate about same size is connected 
with silver plate by a silver or copper wire 6 or 8 inches 
long; the silver is placed in immediate contact with the sore, 
and the zinc plate on sound skin above, piece of chamois 
skin soaked in vinegar intervening; this must be kept moist 
to insure action of battery. " Dr. Hammond states that he 
has seen bed-sores three to four inches in diameter, half 
inch deep, heal entirely over in 48 hours under this treat- 
ment. 

Dr. Hering advises placing an open vessel filled with 
water under the bed of patient, to prevent bed-sores. In 
many cases the internal administration of Am. Carb. v. Chin. 
Plumb, or Sulph. ac. will be useful. 



BITES AND STINGS OF INSECTS. 

When a person has been bitten by a venomous snake, tie a 
ligature tightly round the limb above the wound, to check 
circulation, suck the wound thoroughly and inject into it 
with a hypodermic syringe a solution Permanganate of Potash 
[1 to 100], or cut the bitten part out and suck the wound, 
or lastly, cauterize it with Liq. Ammonia, Nitric or Carbolic 
Acid. 



BOIL. — FURUNCLE. * 51 

RATTLESNAKE. There is every reason to believe that 
Prof. Bibron's antidote for the bite of a rattlesnake is 
effectual. It is as follows : — 

IJl. Potassii iodidi, . . . . 4 grs. 
Hydrarg. chlor, .... 2 grs. 
Brominii, .... 4 drachms. 

Give ten drops of this mixture, diluted with a spoonful of 
wine or brandy, and repeat if necessary. 

Another favorite remedy for this species of poisoning, is 
to make the patient drunk by giving large quantities of 
alcohol. 

BITES OF SPIDERS, ETC. The bite of spiders, centi- 
pedes, etc., is not usually followed by any bad consequences. 
One of the best local applications is tincture Apis Mellifica. 
Washing the parts well with hot water, and then applying 
raw onion, is a good remedy, also Arnicated Collodion, 

STINGS OF BEES, ETC. Examine the parts with magnify- 
ing glass, and extract the stings with fine forceps, if visible. 
Aqua Ammonia or Tr. Arnica, dilute, among the best applica- 
tions. Bicarbonate of Potash, wood ashes and water, moist 
clay, raw onion and tincture of Camphor, are also good local 
remedies. 

If the wound cause inflammation and fever, give Camph. 
to smell, and if this be insufficient, give Aconite. 

If tongue is the seat of injury, give Aconite, and if this 
does not relieve, Arnica. Bell, will be required if there is 
much redness, swelling and tenderness of parts. 

For stings in the eye, Aeon, and Arnica will be found the 
best remedies. 



B0IL.-FURU1TCLE. 

A boil is a small phlegmon, which appears in the form of 
a conical, hard, circumscribed tumor, having its seat in the 
dermoid texture. At the end of an uncertain period it 
becomes pointed, white or yellow, and gives exit to pus 
mixed with blood. 

TREATMENT. Special indications. 

ACONITE. Boil highly inflamed, attended with a good deal 
of fever, restlessness and anxiety, 

ARNICA. *Many small painful boils, very sore. Boils 
following mechanical injuries. Where there is a tendency 
to a recurrence, [Lye. Phos. Sil.*Sulph.] Plethoric subjects 
with red face. Applied locally gives much relief. 

BELLADONNA. * Fiery-red or erysipelatous appearance. 
Swelling of glands under the arms and in the groins. Fever, 
hot, dry skin, thirst and headache. Young full-blooded 
subjects. 



52 THERAPEUTIC KEY. 

BERBERIS VuL. Hastens suppuration, and removes pre- 
disposition to a recurrence.-— Helmuth. 

HEPAR STTLPH. * Hastens suppuration, pain throbbing, 
[see Merc] Boil very painful to touch [Rhus.] * Unhealthy 
skin, slight injuries suppurate. 

MERC. VIV. * After pus has formed ; pain throbbing, sting- 
ing, [stinging when touched, Lyco.] Axillary glands swollen; 
inclination to sweat, [boils of axillary glands, Rhus t.] 

SULPHUR. Where there is a strong predisposition and 
frequent return of the disease, [Calc. c. Lye. Phos.] Glandu- 
lar swellings, [Merc] Skin rough, scaly, scabby. 

LOCAL TREATMENT- Hot poultices or fomentations, 
medicated with the internal indicated remedy, will have a 
salutary effect. Soon as suppuration is established, open 
with sharp lancet. 



BRIGHT'S DISEASE. 

(Parenchymatous Nephritis. ) 

Under this head some writers include acute and chronic 
inflammation of the kidneys, in fact all conditions in which 
albumen is found in the urine. Only where there is granular 
or fatty degeneration of the kidneys can we have positive 
evidence of the existence of so-called Morbus Brightii. This 
can only be determined by a chemical and microscopic 
examination of the urine. Such examination should be made 
at short intervals so long as albumen is present in renal 
secretions. 

TREATMENT. Leading indications. 

APIS MEL. Impaired memory. Headache and vertigo. 
*Pain in hypochondriac region, extending upwards. Renal 
pains, soreness on pressure or when stooping. *Urine 
scanty, milky, albuminous, containing uriniferous tubules 
and epithelium. * Eyelids cedematous, with baglike swelling 
under the eyes, [over upper lids, Kali c] *(Edema of 
hands and lower extremities. Especially after scarlatina, 
[Kali c. Helon. Sec] 

ARGENT. NIT. Dullness of the head and mental confusion. 
Dizziness with tendency to fall sideways. *Head feels too 
large, [Gel. *Nux ] * Irresistible desire for sugar. Belching 
after every meal, stomach as if it would burst. Acute pain about 
kidneys, extending down ureters to bladder. 

ARSENICUM. *Fear of death, restlessness, trembling, 
prostration. Intense frontal headache. ^(Edematous swell- 
ing of face, *Edge of tongue red, takes imprint of teeth, 
[see Merc] Stitches in renal region when breathing or 
sneezing. *Urine scanty, dark brown, and albuminous. 
Great thirst, drinking often and little, [Apis.] Pale, waxy skin. 
*General dropsy. 



bright's disease. 53 

BERBERIS. Fretful humor, with weariness of life. Beat- 
ing and fluttering in ears. *Sniarting, burning in region of 
kidneys, [Tereb.] Bloody urine, which settles at bottom of 
vessel in a cake. Transparent, jelly-like mucus passes with 
urine, followed by great exhaustion. * Albuminous urine, 
[Apis. Helon. Tereb.] Pain in loins and hips. Hard, lumpy 
stools. 

CANTHARIS. Whining and complaining, with anxious 
restlessness. Great thirst, with burning in stomach, [Ars.] 
Cutting, burning pains in region of both kidneys, the parts 
being sensitive to pressure. *Painful micturition, by drops, 
of burning, bloody urine. Albuminous urine containing cylin- 
drical casts, mucus, and shreds ; looks jelly-like. Great weak- 
ness, prostration, faintness. 

HELONIAS. Mind dull and inactive, wants to be let alone. 
Great languor, [Berb. Phos. Tereb.] * Feeling of weakness 
and weight in region of kidneys. Frequent desire to 
urinate. Urine profuse, light- colored, albuminous. Dropsy, 
general debility, uterine atony. 

KALMIA. Anxiety, with palpitation of heart. Scanty albu- 
minous urine, with fibrinous casts and epithelial cells [sec 
Helon.] Oppression of chest, dyspnoea, vertigo, dullness of 
head. Persistent pains in lower extremities. 

MERC. COR. Mind sluggish, with torpid digestion. 
(Edematous swelling of face, [Apis. Ars.] Metallic taste, 
mouth feels as if scalded. Bloated abdomen, painful to 
touch. Filaments, flocks or dark flesh-like pieces of mucus 
in urine. Albumen in urine after diphtheria. Yellowish 
tint of the skin. 

PHOSPHORUS. Great indifference, and loumess of spirits. 
Skin on face and forehead feels tense. Puffiness under the 
eyes. * Feebleness of sight, [Kalm.] Granular and fatty 
degeneration of the kidneys. * Albumen and exudation cells 
in urine. Sensation of weakness or emptiness in stomach. 
*Constipation, stools long, slender, and hard like a dog's, 
[Caust.] 

SARSAPARILLA. Dull, stupid feeling, cannot keep 
the mind on his study. Throbbing in top of head, worse 
from walking. Dimness of sight, as if looking through a fog. 
[*Ars. Merc] * Tenesmus of bladder, with discharge of 
white acrid pus and mucux. *Severe pain at conclusion of 
urination. Trembling of hands and feet. 

SECALE. Anxiety, sadness, melancholy; fear of death. 
Feeling of lightness in head, [great heaviness, Gel.] Ob- 
scuration of sight. * Morbus Brightii after scarlatina, [sec 
Apis.] Urine pale or bloody, with deposits looking like cheese. 
Desire to be uncovered ; icorse in a warm room. 

TARTAR EMET. Weariness in every part of body. 
Numbness of head, with stupefaction. Trembling of head 
and hands, with great debility, worse when lying and 
getting warm in bed. Dimness of sight, sees things as 



54 THERAPEUTIC KEY. 

through a veil, [white veil, Ars. — gray, Phos.] Longing for 
acids and fruits. *Continuous nausea, [*Ipe.] Albu- 
minous urine. Visible palpitation of heart. 

TEREBINTHINA. Sudden vertigo, with obscuration of 
sight. Burning and drawing from right kidney to hip. 
*Urine black, with sediment like coffee grounds. Blood is 
thoroughly mixed with urine. Albuminous urine. If caused 
by living in damp dwellings. 

HYGIENIC MEASURES. These are of first importance. 
Over-taxing of body or mind, exposure to inclement 
weather, the use of alcoholic stimulants and imprudence in 
eating, should be interdicted. Frequent bathing with tepid 
water, and friction to promote healthy action of skin and 
circulation, clothing to secure uniform warmth, and outdoor 
exercise to extent of patient's ability, are important 
measures to be adopted. 

DIETETICS. A diet exclusively of skim-milk is highly 
commended. Begin with moderate quantity, increase it 
daily to the exclusion of all other food. Continue this for 
at least a month, and if no improvement, gradually return 
to other diet. We have found good fresh buttermilk one of 
the very best articles of diet in this disease, and greatly 
prefer it to skim-milk. 

BRONCHITIS. 

TREATMENT. Leading indications. 

ACONITE. Mostly in commencement of acute attacks. 
Chill and synochal fever, dry, hot skin, and great restless- 
ness. Short, dry cough, worse at night, with constant irrita- 
tion in larnyx. *Great fear and anxiety of mind, with 
nervous excitability. *After exposure to dry, cold winds, 
[Hep.] 

. APIS MEL. Sensation of soreness in chest as from a 
bruise. *Cough, particularly after lying down and sleeping, 
[Lach.] A clear, tough, stringy phlegm rises in throat, 
which causes him to hawk frequently, [Kali b. Rumex.] 
*(Edema glottidis. 

ARSENICUM. Dry, hacking cough, with soreness in chest, 
as if raw, or moist cough, with difficult expectoration of 
blood-streaked mucus. Difficulty of breathing, obliging him 
to sit up, [Apis.] Dryness and burning in larynx. Great 
thirst, but drinks little. *Restlessuess, debility, and fear 
of death. 

BELLADONNA. Face flushed and eyes red. *Great fullness 
in head, or splitting headache. Hot skin, with inclination 
to perspire. Spasmodic cough which does not allow one 
time to breathe. Children cry after every coughing spell. Sloepy, 
but cannot sleep, [Opi.] *Starting and jumpiug during 
sleep. 



BRONCHITIS. 55 

BRYONIA. Short, difficult respiration, obliging him to 
sit erect, [Ars.] Dry cough, with stitches in chest. Violent 
morning cough, with expectoration of quantities of mucus. 
*Sensation when coughing as if head and chest, would fly to 
pieces. *The patient wants to remain perfectly quiet. 

CARBO VEG. Obstinate hoarseness, particularly in evening, 
[in morning, *Caust. Phos.] Severe burning in chest as 
from hot coals. Violent cough, with discharge of a quantity 
of yellowish pus. Stitching pains between scapula, [burn- 
ing, Bry.] * Patient craves air; wants to be fanned all the 
time. 

CATJSTICTJM. Hoarseness and roughness of throat, par- 
ticularly in morning. Short, hacking cough, with rawness 
in throat. *When coughing, pain over the hip, [Bell.] 
Involuntary emissions of urine, [Puis.] Loss of voice, 
[Phos.] Tightness of chest. 

CHAMOMILLA. Hoarseness and cough from rattling 
mucus in trachea, the place feeling sore from whence the 
mucus was detached. *Scraping, dry cough from tickling 
in larynx, worse at 7iight, even during sleep ; expectoration only 
indaytime. *One cheek red, other pale, [*Acon. Nux.] *Very 
impatient, can hardly answer one civilly. 

ETTPATOR. PER. * Rough scraping cough, with soreness 
in chest. Has to support chest when he coughs, [*Nat. s. — 
has to support head, *Nice.] 

HEPAR STJLPH. Dry, hoarse cough, and roughness in 
throat. *Rattling, choking cough, worse after midnight.. 
Hoarse, anxious, wheezing breathing, with danger of suffo- 
cation when lying down. After exposure to cold west winds, 
[*Acon.] 

IPECAC. *Rattling of mucus in bronchia. Suffocative 
cough, with great difficulty of breathing. Chest seems full 
of phlegm, but does not yield to coughing, [*Tart. e ] 
*Much nausea and vomiting of mucus. Face livid during 
cough. 

KALI BICHRO. Burning pain in trachea and bronchia. 
*Cough, with expectoration of tough, stringy mucus, whicu 
can be drawn down to feet, [Phos.] 

LACHESIS. Hoarseness with feeble voice and constriction 
of throat. Short, hacking cough, caused by a tingling in 
throat. Difficult yellow expectoration. * Larynx and throat 
painful when touched ; pressure produces violent cough, 
[Rumex.] * Always worse after sleeping. 

MERCURIUS. Hoarseness and sore throat. Catarrh of 
whole mucous membrane. Violent, racking cough, particu- 
larly at night, as if it would burst the head and chest, [see 
Bry.] Alternate chilliness and heat, [Bell.] *Cough worse 
when lying on right side, [on left side, Phos.] *Much per- 
spiration, without relief. 

NUX VOMICA. Roughness and scraping in larynx, induc- 
ing cough, [Caust. *Phos.] Dry cough from midnight till 



56 THERAPEUTIC KEY. 

morning. Cough with headache as if skull would split, [Bry. 
Merc] Nose stopped up. Fever, but chilliness from slight 
motion. * Always worse after 4 a. m. * Habitual constipa- 
tion. After previous use of cough mixtures. 

PHOSPHORUS. Complete loss of voice, [Caust.] *Cannot 
talk, larynx so painful, [Apis.] *Tightnes« across the chest, 
[Ars. Puis.] Cough with expectoration of frothy, pale-red, 
or rust-colored mucus. Severe and exhausting cough, which 
the patient dreads and avoids as-long as possible. *Sensation 
of weakness and emptiness in the abdomen. 

PULSATILLA. Scraping and dryness in throat, [Nux v.] 
Dry cough at night, going off when sitting up in bed, [Hyos. Sang.] 
Loose cough, with copious expectoration of yellow or green- 
ish mucus. *Chilliness even in a warm room. *Hot, dry 
skin, with little or no thirst. Persons of a mild, tearful 
disposition. 

RHUS TOX. Cough excited by a tickling under middle of 
sternum, worse from laughing or loud talking, [Phos.] 
* Rheumatic painsin bones, worse when at rest, [*better, Bry.] 
*Worse at night, particularly after midnight. After getting 
wet when heated. 

SANGUINARIA. Dryness of throat, and sensation of 
swelling in larynx. *Severe cough, with circumscribed redness 
of cheeks and pain in breast. Pain in root of nose. Fluent 
coryza and thin diarrhoea. Burning in hands and feet at 
night. Sweats at night. 

SPONGIA. Great dryness in larynx, with hoarse, hollow, 
w 7 heezing cough, worse in evening. Sawing respiration. 
*The voice frequently gives out when talking or reading 
aloud. Croupy subjects. 

SULPHUR. Hoarseness" and loss of voice. Sensation as 
of something creeping in larynx, [Carb. v.] Loose cough, 
with expectoration of thick mucus and soreness in chest. 
*Stitches in chest extending to back. Pain in left side. 
*Frequent weak, faint spells. Constant rattling in chest. 
*Lean persons who walk stooping. 

TARTARUS EM. Large collection of mucus in bronchia, 
with difficult breathing. *When patient coughs, it seems as 
if much would be expectorated, but nothing comes up, [*Ipe.] 
*Nausea and vomiting of much mucus. Great oppression 
and difficulty of breathing. 

VERAT. Dry, hollow cough as if proceeding from lower 
parts of chest or abdomen. * Rattling of mucus in chest, 
but can't get rid of it, [see Ipe.] Vomiting, with diarrhoea 
and great prostration. 

BUNION. 

This is an enlargement over the metatarsal joint of great 
toe. It is frequently found in persons of advanced years, 
causing considerable deformity, and at times much pain. 



BURNS AND SCALDS. 57 

TREATMENT. Special remedies. 

Remove all pressure caused by tight shoes, and if part is 
inflamed, apply linseed-meal poultice, or hot fomentations 
medicated with dilute Arnica. 

ACONITE. Red, shining, hot swelling of joint. Violent 
cutting pains, part burns like fire, [Ars.] Nervous, rest- 
less, very excitable. 

ARNICA. If caused from a blow, pressure or constant 
friction. *Bluish redness of the part and intense soreness. 

LEDUM. Indicated for similar symptoms to those found 
under Arnica. *Stinging tearing pains, aggravated by heat. 

GRAPHITES. Chronic enlargement of the joint, with 
redness of surrounding parts ; swelling and itching of toes. 
*Unhealthy skin, ulcerates readily. 

Hepar, Merc, or Sili. W here there is a tendency to suppurate. 

IODIDE POTAS. The most effectual remedy for chronic 
form of the disease. — Helmuth. 

STICTA PULM. In the acute form, with circumscribed 
redness of the parts. 



BURNS AND SCALDS. 

All charred or burnt clothing must first be carefully cut 
away from burned surface. Then wash parts with solution 
Canthuridcs or Urtica Urens, [ £i, warm water §iv], or solu- 
tion Creasote [ 3'i, water Oi.] Prick any vesicles with 
needle, and apply such dressings as will absolutely exclude 
the air. Thick layers of cotton best protection to the 
parts. Dress parts soon as possible after injury. Use first 
remedy at hand, till others can be procured. 

TREATMENT. Principal remedies. 

ALCOHOL. For burns or scalds, where blisters have not 
already formed, the external application of this remedy is 
highly extolled. 

BICARBONATE OF SODA. Valuable in all superficial 
burns or scalds, [see Canth.] Soon as can be after accident, 
apply the powdered soda to burnt surface and lay over 
it a wet cloth. The pain will almost immediately subside 
and wound readily heal. 

CANTHARIDES. In superficial burns or scalds, this is 
one of the best remedies. Put twenty drops of Tincture in 
a gill of water, and keep injured parts constantly wet with 
rags or lint saturated with the solution. After the acute 
symptoms Lave subsided, dress with simple cerate. 

CARBOLIZED OIL. One of the best remedies in deep- 
seated burns. Mix one drachm Carbolic Acid with one pint 
of olive or linseed oil, and apply with cloths. 

CASTILE SOAP. Make a thick salve by mixing it with 
warm water, spread it upon soft linen or muslin, and apply 
to the injured part, change twice daily. 
3* 



58 THERAPEUTIC KEY. 

FLOTTB AND OIL. A good application and most always 
at hand. Soon after accident as possible, oil injured surface 
with sweet or linseed oil, and dust it over with flour from a 
common dredging-box until thickly covered. 

GLYCERINE. For burns in mouth, throat or stomach, 
this is an excellent remedy. Equal parts of glycerine and 
water may be taken in spoonful doses, and mouth and throat 
gargled with same. Take Urtica Urens internally for burns 
of this character. 

URTICA URENS. Valuable in all classes of burns, not 
only for slight and superficial cases, but in severe and more 
deeply penetrating injuries of this kind. It may be applied 
same as directed for use of Cantharides. 

INTERNAL TREATMENT. 

ACONITE. Chills, fever, dry, hot skin and much thirst, 
following extensive burns. *Great fear and anxiety of 
mind, with much nervous excitability. 

ARSENICUM. Dark, watery, offensive diarrhoea. Rapid 
prostration, with sinking of vital forces. *Extreme thirst, 
drinking often, but little at a time. Great anguish, restless- 
ness and fear of death. 

CHAMOMILLA. In convulsions arising from severe burns. 
Becomes furious about the pains, [Aeon.] *Very impatient, 
can hardly answer one civilly. Warm sweat about the face 
and head. 

CHINA. Extensive suppuration, producing much debility, 
[Hepar. Merc] Painless diarrhoea of dark, watery stools, 
particularly at night 

SILICEA. When the ulcer heals slowly, or proud flesh is 
disposed to shoot up, and the parts burn. 

SULPHUR. There is a strong tendency to the production of 
proud flesh, and there is no appearance of granulations, [Sili. ] 
Much itching, burning and inflammation around the ulcers. 

CLINICAL REMARKS. Be in no hurry in removing first 
dressings. If injury is extensive, apply dressings so they 
can be removed without exposing too great surface at once. 
At each dressing, bathe part well with carbolized water, 
drachm to pint. When suppuration is profuse, and reaction 
begins, cover parts with carded cotton, and keep wet with 
Calendula, Give same remedy internally. 

Extensive burns, even of slight severity, are always dan- 
gerous. 

If one-half, or even one-third, the surface is burned, death 
is almost certain to follow. 

Burns on the trunk more dangerous than those of equal 
extent on extremities. 

Periods of Danger. First. Immediately after injury, from 
shock. Second. During third or fourth day, from fever or 
sympathetic affections of brain or bowels. Third. During 
period of suppuration, hectic or pyaemia may supervene. 



CARBUNCLE. — ANTHRAX. 59 

CAEBTmCLE-ANTHRAX. 

This is a species of malignant tumor. It commences as a 
livid red swelling, attended with a burning, itching, smarting 
pain, which gradually grows worse as the disease progresses. 
After 5 or 6 days, softening and suppuration take place, and 
when it bursts, instead of having a central opening as a boil, 
it is flat on top with several openings which discharge a thin 
acrid fluid. These openings gradually widen, coalesce, and 
large pieces of decayed cellular tissue are thrown off by 
sloughing. 

Carbuncles vary in size from that of a chestnut to that of 
a man's fist, and when occurring about the head are very 
dangerous. 

TREATMENT. Principal remedies, 

ANTHRACINUM. Violent burning pains not relieved by 
Ars. Sloughing; abundant discharge of ichorous, terribly 
smelling pus. — Raue. 

ARSENICUM. * Intense burning in parts. Sensation as 
if boiling water was running beneath integuments. *Great 
restlessness, thirst and debility. Worse at night, better from 
warm applications. 

BELLADONNA. Bright redness, of an erysipelatous char- 
acter. *Throbbing pain, drowsiness and inability to sleep. 

CARBO VEG. Dark bluish appearance of tumor. *Great 
foulness of the discharges. Cachectic persons, whose vital 
powers have become weakened. 

HEFAR STJLPH. If given early will sometimes abort 
anthrax, later it promotes suppuration. When extensive 
cavities have formed, discharge profuse and purulent. 

LACHESIS. Bluish purplish appearance of parts. [See 
Carb. v.] *Impending gangrene. Blood-poisoning. 

MURIATIC AC. Scorbutic individuals, ulcers on gums, 
with fetid breath. Feeling of great emptiness in stomach 
and abdomen. 

RHUS TOX. The parts have a bluish gangrenous appear- 
ance, [see Lach.] Itching, burning around the carbuncle. 
*Great restlessness ; patient feels better while moving about. 

SILICEA. During process of ulceration. *Fistulous open- 
ings with offensive discharge ; parts around hard, bluish-red. 
Promotes healthy granulations. 

CLINICAL REMARKS. Avoid use of "free incisions." 
Dress sore with solution hot Calendula [drachm to pint.] 
Cover compress with oiled silk, and trust to internal medica- 
tion. If parts become gangrenous, apply poultices of char- 
coal and yeast. Allow nourishing diet and discard all 
stimulants. 

"A commencing carbuncle may be successfully aborted by 
injecting into its centre several drops of pure carbolic acid." 
— Gatchell. 



60 THERAPEUTIC KEY. 

CATAERH.-CORYZA. 

TREATMENT. Leading remedies. 

For DRY CORYZA, with stoppage of the nose, *Am. c. Bry 
Dulc. Nit. ac. Nux v. Phos. *Sep. 

For FLUENT CORYZA, with mucus or watery discharges, 
*Alli. c. Ars. Arum. t. Bell. Cham. Dul. Euph. Hepar. Kali b. 
*Merc. Puis. Sulph. 

LEADING INDICATIONS. 

ACONITE. Mostly in first stage ; chilliness, with burning 
heat, especially in head and face. Profuse lachrymation, 
[Euph.] Short, dry cough, from tickling in larynx. *Fear, 
anxiety, and great restlessness. *From dry, cold winds, 
[Hepar— cold damp air, Gel.] 

ALLIUM CEPA. *Profuse discharge from eyes, and 
burning excoriating water from nose. Catarrh, with profuse 
flow of tears; smarting in the eyes, and violent sneezing. Terrible 
laryngeal cough, compelling patient to grasp larynx ; it seems 
if cough would tear it. Feels better in fresh air. 

AMM. CARB. Burning and pain in eyes, with lachrymation. 
Dry coryza, with stoppage of nose, especially at night, 
' [Nux.] Dry, nightly cough, and stitches in the chest. Fre- 
quent chilliness. 

ARSENICUM. Frequent sneezing, profuse fluent coryza, 
stoppage of nose. Burning and soreness of nostrils. Pro- 
fuse lachrymation and burning in the eyes, [Aeon. Euph.] 
Dryness in mouth and loss of taste. Chilliness, particularly 
after drinking. * Intense thirst, drinking little and often. 
^Restlessness and prostration. 

ARUM TRIPH. *Coryza, with discharge of burning, 
ichorous fluid from nose, excoriating nostrils and upper lip, 
[Ars.] Nose stopped up; can only breathe with mouth 
open. Hoarseness and sore throat. Dry, feverish heat and 
hot skin. 

BAPTISIA. Stiffness of all the joints as if strained. 
Rheumatic pains, and soreness all over, [see Gel.] *Tiekling 
in throat, provoking cough, fauces dark red. Thick mucus 
from the nose. Dull frontal headache. 

BELLADONNA. Sore throat and hoarseness. *Throbbing 
headache, worse from motion. Dry, hoarse cough; children 
cry when coughing. Alternate chilliness and heat. [Merc] 
Swelling and stiffness in nape of neck. *Sleepy, but cannot 
sleep. 

BRYONIA. Dry coryza, with inflamed, ulcerated nostrils. 
*Lips parched, dry, and cracked; splitting headache. Dry 
cough, apparently from stomach, worse after drinking. 
^Constipation of hard, dry stools as if burnt. *Patient 
wants to keep very still. Exceedingly irritable. 

CARBO VEG. Beating or pulsating headache, [Bell.] 
Burning in eyes and profuse lachrymation. Stopping of 



CATARRH. — CORYZA. 61 

nose, particularly in evening. Fluent coryza, with hoarse- 
ness and rawness of chest. *If coryza return in evening. 

CHAMOMILLA. Fluent acrid discharge from nose. Chilli- 
ness and feverish heat. *One cheek red and hot, the other 
pale and cold, [Aeon. Nux.] Hoarseness and cough from 
rattling mucus in bronchia. *Dry cough, worse at night, 
even during sleep. *Patient very irritable. *Children 
want to be carried all the time. 

DULCAMARA. Dry coryza, aggravated in cold nir. *The 
symptoms are aggravated by every cold change, [Gel.] and 
in wet weather ; better when moving about. 

EUPHRASIA. *Profuse fluent coryza, with burning 
acrid tears. Cough only during day. Ulceration of margins 
of eyelids, [*Merc. Sulph.] Earache, 

GELSEMIUM. Liability to take cold from change in any 
weather, [see Dulc] Sore throat, with pain on swallowing, 
shooting up into ear, [Apis.] Dull aching and muscular sore- 
ness in limbs, [see Bapt.] *Fever without thirst; wants to 
lie still and rest. 

HEPAR SULPH. Great liability to take cold, especially 
after abuse of" mercury. Roughness and scraping in throat, 
[Nux v.] *Stitches in throat as if caused by a splinter, 
[Arg % n.] *Hoarse croupy cough, phlegm being loose and 
choking. 

IPECAC. Aching pain over the eyes. Fluent coryza, 
stoppage of nose, loss of smell. *Rattling of phlegm in 
chest, but does not yield to coughing, [Tart, e.] *Nausea 
and vomiting large quantities of mucus. Oppressed breath- 
ing as of asthma. Suitable to children. 

KALI B. Fluent coryza, worse in evening and in open 
air. Flow of acrid water from nose, excoriating the nostrils, 
[Ars. Arum, t.] *Cough, with expectoration of tough 
phlegm, which can be drawn into long strings. Loss of 
smell, [Ipe. Sep.] 

LACHESIS. Fluent coryza. Dryness of mouth, with 
burning as if from pepper. Dry cough, shortness of breath, 
and stitches in chest. *Can bear nothing to touch his 
throat [Apis.] ; it excites a cough and produces a sense of 
suffocation. *Symptoms worse in afternoon and after 
sleeping. 

HERCURIUS. Catarrhal headache. Burning in eyes and 
profuse lachrymation. Pain in jaws and teeth. *Frequent 
f-neezing and profuse fluent coryza. Inflamed and ulcerated 
tonsils, [Bell.] Short, dry, fatiguing cough, worse at night. 
* After sweating at night, the cold is no better. Feels better 
in a warm room, [Ars.] 

NUX VOMICA. Chilliness and feverish heat. Fluent 
coryza during the day ; dry at night. Dry cough with head- 
ache as if skull would burst. *Very irritable and wishes to 
be alone, [Chin.] Constipation, with frequent urging to 
stool. Aggravation in morning. 



62 THERAPEUTIC KEY. 

PULSATILLA. Yellowish, green, thick, fetid mucus from 
nose. Loss of taste and smell, [Sulph.] Toothache and 
otalgia. *Craves fresh, cool air; worse in warm room, 
[better, *Ars.] *Chilliness even in warm room. Loose 
cough, with expectoration of yellow mucus. *Symptoms 
all worse towards evening. Mild, tearful disposition. 

SAMBUCUS. *Stoppage of nose, with thick tenacious 
mucus. Sudden starting from sleep as if suffocating. Cir- 
cumscribed redness of the cheeks, [Sang.] Sniffles of infants, 
can't breathe through the nose, [Nux.] 

SEPIA. Nose swollen and inflamed, with sore ulcerated 
nostrils. Obstruction of nose, and violent dry coryza. Loss 
of smell. Pain in back and stiffness in nape of neck, [Bell ] 
*Cough worse in morning, terminating in an effort to vomit. 
*Great sense of emptiness in stomach. 

SULPHUR. Catarrh, with fluent coryza. Soreness and 
pressure in throat as from a lump. Complete loss of taste 
and smell, [*Puls.] Coldness of the extremities and chilli- 
ness. *Frequent weak, faint spells. *Great liability to 
take cold. 



CHRONIC NASOPHARYNGEAL CATARRH. 

TREATMENT, Leading indications. 

.2ESCULUS HIP. Dull frontal headache, fluent coryza, 
thin watery discharge. Stinging and burning in posterior 
nares and soft palate, [Cap.] *Hawks up ropy mucus of 
sweetish taste, [Alum.] 

AILANTHUS GLAN. Loss of smell, [see Hepar.] *Copious 
thin, ichorous, bloody discharge from nose, without fetor, 
[see Graph.] Hawking of mucus, constant effort to raise 
hard lumps of whitish matter, [see Mag. c] Throat dark 
red and swollen, [see Arg. n.] 

ALUMINA. Chronic nasal catarrh, with scurfy, sore 
nostrils, [see Cal. c] Discharge of dry, hard, yellow-green 
mucus from nose. Thick mucus dropping from posterior 
nares, [Coral, r. Hydras. Phyto.] Ulcers in fauces, secreting 
a yellowish-brown, badly smelling pus. 

ARGENT. NIT. Violent itching of nose, [of tip, *Sili. 
Caust.] Discharge of whitish pus, with clots of blood. 
* Uvula and fauces dark red, [Bapt. Bell.] * Thick tenacious 
mucus in throat, obliging him to hawk, [JEscu. hip. Hepar. 
Hydras. Graph.] Rawness, soreness and scraping in throat, 
[Hepar. Phos.] *Head feels too large. *Craves sugar. 

AURUM MET. Sensitive smell; everything smells too 
strong. Fetid discharge from nose, [see Nit. ac] Frontal 
headache, [see Puis.] *Caries of nasal bones, [Merc. Nit. ac] 
Tip of nose "knobby" red. 

BARYTA CAR. Frequent nosebleed, [Graph. Hepar.] 
Formation of scabs in posterior nares, and behind base of 



CATARRH. — CHRONIC. 63 

uvula Liability to quinsy, [Hepar. Lack. Sulph.] *Chronic 
induration of tonsils, [Baryta m. Hepar. Ign. Lye] 

CALC. CARB. Scrofulous habit, [Baryta c. Ferr. Merc. 
Sulph.] Unhealthy, ulcerated skin. Great liability to take 
cold, [Graph. Sili. Sulph.] Nasal discharge thick, pus-like. 
Sore ulcerated nostrils, [Graph. Nit. ac. Lye] General sick 
feeling. *Cold, damp feet. 

CISTUS CAN. Eczema of nose. Fauces inflamed and dry. 
*Tough, gum-like, thick, tasteless mucus brought up by hawk- 
ing, mostly mornings. Strips of tough mucus on back of throat. 

FERRTJM. Anaemic condition, [Chin.] Dropping of fluid 
from posterior nareg or frontal sinuses, [hangs down in 
strings, Phyto.] Headache, it feels dull and full. *Least 
emotion or exertion produces a flushed face. 

GRAPHITES. Burning spot on top of head, [Sulph.] 
Loss of smell, [Ailan. Puis.] Discharge of thick, yellowish, 
fetid mucus from nose. Dry scabs in nose, with sore, cracked, 



ulcerated nostrils, [Alum. Puis.] Roughness and rawness in 

oat, [Arg. n. Phos. Puis.] Ha 
Arg. n.J *Eruption on skin, oozing sticky fluid. 



throat, [Arg. n. Phos. Puis.] Hawking of phlegm, [see 



FJEPAR SULPH. Sense of smell acute, [obtuse, Ailan. Arg. 
n. Cal. e] Sore pain on dorsum of nose, when touching it. 
Itching in nose, [see Arg. n.] Cracking in ear when blowing 
nose. Scraping in throat when swallowing. Hawking up 
mucus, [see Arg. n.] Sensation of plug in throat, [Bary. o. 
Ign. Lye] Unhealthy skin. 

HYDRAS. CAN. Air feels cold in nose. *Dropping of 
mucus from posterior nares into throat, [see Alum. Arg. n.] 
Soreness of cartilaginous septum, bleeding when touched. 
Ozaena, with bloody purulent discharge, [Aur. m. Nit. ac] 
Dull heavy headache over eyes, [see Puis.] 

IODITJM. Chronic fetid discharge from nose. Buzzing in 
ears, [crackling, Bary. c. Kali b. Nit. ac] Ulcers in throat, 
with swelling of glands of neck. Scrofulous persons, with 
low state of system, [see Ferr.] After abuse of Merc. 

KALI BI. Fetid smell from nose. *Discharge of tough 
green masses, or plugs from nose, [see Mag. c] Ropy, 
tough discharge from posterior nares, [see Alum.] *(Edem- 
atous uvula. *Ulcers in fauces and pharynx, discharging 
cheesy lumps, of fetid odor, [see Mag. c] 

LYCOPO. Humid scurfs on and behind ears, [Graph.] 
Catarrh of nose and frontal sinuses, discharge yellow and 
thick. Frontal headache, aggravated by warmth, [Puis.] 
Chronic induration of tonsils, [see Bary. c] Hawking of 
bloody mucus, or hard greenish-yellow phlegm, [see Mag. c] 

MAGNE. CAR. Epistaxis, especially in morning, [Nit. ac] 
Vesicular eruptions in nose. Burning in throat and palate, 
with dryness and roughness as if scraped. *Hawking up 
soft, fetid tubercles, color of peas, [see Merc io. r.] 

MERCURIUS VIV. Fluent corrosive discharge from nose, 
with much sneezing. Nostrils bleeding, sore and scurfy, 



64 THERAPEUTIC KEY. 

[see Graph.] *Greenish, fetid pus from nose, nasal bones 
swollen. Chronic ulcerated sore throat. Glands of neck 
swollen. 

MERC. IOD. RUB. * Hawks mucus from posterior nares, 
which feel raw. Crusty eruption on wings of nose. Sensa- 
tion of a lump in throat, [see Hepar.] Hawks up hard 
greenish lumps, [see Mag. c.J 

NITRIC ACID. Fetid, yellow, nasal discharge, [see 
Merc, v.] * Syphilitic ozaena, [see Hydras.] Dirty, bloody 
mucus from posterior nares. Green casts from nose every 
morning. Sore throat, extending up into nose. *Strong~ 
smelling urine. 

PETROLEUM. Pain at root of nose, with purulent dis- 
charge. Scurfs around mouth. Throat feels swollen and 
raw. Hawking of tough, bad-tasting phlegm, mornings. 
When swallowing, food enters posterior nares. 

PHOSPHORUS. Chronic inflammation of nasal membrane, 
with acuteness or loss of smell. Rawness and scraping in 
pharynx, worse toward evening, [see Arg. n.] Hawking of 
phlegm, mornings, [see Pet.] *Great dryness of throat, it 
fairly glistens. *Long, narrow, tough stools. 

PULSATILLA. Loss of smell, [Ailan. Hepar.] *Green, 
fetid, nasal discharge, with diminished taste and smell. 
Frontal headache, [Hydras. Lye] Ears feel as if stopped. 
Throat dry mornings, feels as if she would choke. Mild, tear- 
ful disposition. 

SEPIA. Fetid smell before the nose. Swollen, inflamed 
nose; nostrils sore, ulcerated, scabby, [see Graph.] *Blows 
large lumps of yellow-green mucus, or crusts from nose, [see 
Kali b.] Hawking of mucus in morning, [see Arg. n.] 
*Herpes circinatus. 

SILICEA. Loss of smell, [see Puis.] Gnawing and ulcers 
high up in nose, intolerable itching of tip of nose, [see 
Arg. n.] Throat feels if filled up, [Cimi. Gel.] *Constipa- 
tion, stools recede after being partially expelled. 

SULPHUR. *Dry ulcers or scabs in nose, with chronic 
obstruction. Excoriation and ulceration of nostrils, [see 
Graph.] Scrofulous or syphilitic taint. Skin rough, scaly, 
scabby. 

THUYA. Blows out thick, green mucus, mixed with 
blood; later brown scabs form. Nose sore, red eruptions 
on alse. Throat feels raw, dry, or as if constricted. * Watery 
purulent otorrhoea. 



CHOLEEA ASIATICA. 

TREATMENT. Leading indica tions. 

ACONITE. Forming stage, where there is great vascular 
excitement. Violent heat and dryness of skin. *Great fear 
and anxiety of mind, with nervous excitability. Full and 



CHOLERA ASIATICA. 65 

frequent pulse. *Vertigo, particularly on raising the head. 
*Bitter, greenish vomiting. Stools whitish, with discharge 
of lumbrici. *Fear of death, predicts the day he will die. 

ARSENICUM. *Great anguish, extreme restlessness, and 
fear of death, [Aeon. Verat] *Sudden prostration, with 
sinking of vital forces. Tongue dry, blackish, and cracked. 
Violent burning pains in stomach. Vomiting watery, slimy, 
greenish, brownish, or blackish substances; worse after 
drinking. Vomiting and purging simultaneously, [Ipe. Verat.] 
*Great thirst; drinks little and often. Skin cold and covered 
with clammy sweat, or dry and shriveled, [see Camph.. 
Verat.] 

CAMPHOR. One of first remedies to be thought of, especi- 
ally when there is great anguish and sudden prostration, [Ars. 
Verat.] Pulse small and rapid. Hands, feet, and skin cold. 
*Burning pains in stomach and throat. Cramps in calves, 
[Jatro. our.] Painfulness of pit of stomach when touched. 
*Icy coldness and blueness of face and limbs, even of tongue, 
[Verat] *Half stupid and senseless ; he moans and groans 
in a hoarse, husky voice. 

CARBO VEG. Mostly in last stage, [in first stage, Ipe. 
*Phos. ac] Complete collapse of pulse, patient lies in a 
state of asphyxia. The spasms and vomiting have ceased, 
followed by great debility. Cold breath, cold tongue, or 
coldness all over, [Camph.] *Livid countenance, hoarse 
voice, and sunken eyes. 

CHINA. Hippocratic countenance, pointed nose and 
hollow eyes. Yellowish, blackish, or parched tongue. 
Violent thirst, with a desire to drink often, but little at n 
time, [*Ars.] Spasmodic colic. Painless diarrhoea, stools 
blackish, bilious or whitish. Prostration even unto fainting. 
*After loss of animal fluids. 

COLOCYNTH. Vomiting first food, then a greenish sub- 
stance. * Violent constrictive pain in aodomen as if intes- 
tines were squeezed between stones, relieved by forcible 
pressure. *Terrible, cramp-like pains which draw patient 
almost double. Thin, greenish, slimy, or watery stools; 
retention of urine. Worse after eating or drinking. 

CROTON TIG. Watery discharge from bowels, mixed with 
whitish flakes. *The discharges always come on after 
drinking, and are expelled with a sudden gush, [see Jatro.] 
Vomiting whitish frothy fluids. Great exhaustion with faini- 
ness and vertigo. 

CUPRUM MET. Violent vomiting, with colic and diarrhoea. 
Rolling of eyeballs, great restlessness and coldness of face. 
Spasmodic colicky pains without vomiting, or vomiting pre- 
ceded by spasmodic constriction of chest, arresting breathing. 
*Extreme thirst, liquids descend the throat with a gurgling 
sound. *Violent cramps in the stomach, fingers, and toes, 
[in legs and feet, Jatro. cur] The vomiting is relieved by 
drinking cold water. 



66 THERAPEUTIC KEY. 

IPECAC. In early stage, and where nausea and vomiting is 
a prominent symptom. * Vomiting large quantities of green 
jelly-like mucus, or black pitch-like substances, [Ars. Verat.] 
Griping, pinching in abdomen, as if grasped with a hand; 
excited by motion. *Grass-green mucous stools, having 
appearance as if fermented. Cramp in calves, fingers and 
toes, [Cup. m.] Coldness of face and extremities. 

JATROPHA CUR. Violent vomiting of a whitish, jelly- 
like substance, like white of egg, [black bile, *Ars. Verat.] 
Anxiety and burning in stomach. * Profuse watery stools, 
gushing out like a torrent. Cramps in legs and feet [in fingers 
and toes, *Cup.] gurgling noise in abdomen. 

NICOTIN. *Death-like paleness of face, with nausea and 
cold clammy sweat, while body is warm, [see Verat.] Cold- 
ness in abdomen,, with nausea and hiccough ; no vomiting or 
diarrhoea. Slow, irregular, intermittent pulse. 

PHOS. ACID. In commencement, before vomitings set in. 
Diarrhoea, with whitish, watery, slimy stools, without pain. 
Tenacious viscid mucus in mouth ; gluey matter on the tongue. 
* Indifferent, not disposed to talk. Quiet delirium and 
stupefaction. 

SECALE COR. Face pale and eyes sunken. Dry, thick, 
yellowish white coating on tongue. Unquenchable thirst, 
[Verat.] Heat and burning in abdomen. Watery, slimy diar- 
rhoea, or involuntary diarrhoea. The evacuations are pre- 
ceded by vertigo, anguish, cramps in calves, rumbling in 
abdomen, and nausea. *Great aversion to heat, or to being 
covered. Thin, scrawny persons. 

VERAT. ALB. Pale, death-like expression of face. 
Tongue dry, blackish and cracked. *Unquenchable thirst 
for cold drinks. Vomiting and purging simultaneously. Black 
vomit, [Ars.] *Great weakness after vomiting. Severe 
cutting pains in abdomen. Violent diarrhoea, with greenish, 
watery flocculent stools, followed by rapid prostration. Cramps 
in calves. Small, almost imperceptible, pulse. Hoarse, 
weak voice, cold breath. *Cold sweat over whole body. 

CLINICAL OBSERVATIONS. At beginning of attack, 
place patient in bed; if he inclines to coldness, surround 
him with bottles of hot water and cover with blankets. 
Give no drinks but cold water or ice, unless warm toast- 
water is preferred. Mutton or chicken broth, or beef tea 
slightly seasoned with salt may be taken. Keep patient 
quiet as possible ; have him use bed pan to avoid get- 
ting up. 

Disinfect all discharges and soiled clothing with Chloride 
of Lime or Corrosive Sublimate as directed on page 14. 

In cramps of muscles, friction with dry hand is the best 
remedy to remove spasm, restore heat and circulation. 

DIETETICS. During convalescence, great care must be 
used in regard to diet. Good fresh milk, simple broths and 



CHOLERA MORBUS. 67 

light puddings may be used. No solid food should be taken 
while there is any looseness of bowels. 

HYGIENIC PRECAUTIONS. Observe regular habits in 
all things. Avoid all indigestible food ; use goodly propor- 
tion of animal food, good bread and ripe fruits. Take no 
intoxicating liquors. Boil all water used for drinking or 
culinary purposes. Treat promptly all cases of diarrhoea at 
the outset. Give strict attention to cleanliness. 



CHOLERA MORBUS. 

TREATMENT. Leading indications. 

ANTIMO. CRUD. * Thick, milky-white coating on tongue. 
Great thirst for cold water, especially at night. Vomiting 
and diarrhoea, watery or slimy. Suitable after use of sour 
wine, [see Chin.] 

ARSENICUM. * Violent attacks, sudden prostration, great 
restlessness, extreme thirst, drinking little and often. Severe 
burning in stomach. Vomiting, especially after eating or 
drinking. Vomiting and purging simultaneously, [Ipe. Verat.] 
Skin dry or cold and bluish. Great anguish and fear of 
death. 

CHAMOMILLA. Frequent vomiting food or mucus, sour 
or bitter substances. Severe cutting pains in abdomen. 
*Patient very irritable, can scarcely answer a civil question. 
Children must be carried all the time to be quieted. If excited 
by a fit of passion, [Colo.] 

CHINA. Sudden attacks in the night ; discharges mostly 
painless, containing undigested food. *Great fermentation 
in bowels; abdomen bloated. Weakly persons who have lost 
much blood, or after drinking sour beer, eating fruits, etc. 

COLOCYNTH. Moderate nausea, vomiting and purging. 
^Violent cramp-like pains in region of navel, relieved by 
bending double. Cramps in the extremities, [Diosc. Verat.] 
Tongue loaded with yellow fur. 

DIOSCOREA. Vomiting and purging, stools watery, with 
painful cramps in the stomach, bowels, and extremities. 
*Violent twisting colic, occurring in regular paroxysms, 
with remissions, relieved by walking. 

EUPHORBIA COR. Forcible vomiting and diarrhoea of 
watery fluid, with sinking, anxious feeling at stomach. 
Painful spasms in the bowels, with cold sweat. Cramps in 
the hands and feet, [see Verat.] Death-like sensation, with 
anxiety of mind. 

IPECAC. Vomiting most prominent symptom. * Constant 
nausea and vomiting food, mucus, bile, or jelly-Uke substances. 
Stools as if fermented, green as grass, with colic. After 
eating unripe sour fruit. 

IRIS VERSICO. Nausea, with burning in mouth, fauces and 
oesophagus. Vomiting and diarrhoea, with violent pain in pit 



68 THERAPEUTIC KEY. 

of stomach, at or before every fit of vomiting or purging. Suit* 
able when disease occurs in hot weather, [Podo.] 

PODOPHYLLUM. When the disease occurs in hot weather, 
[Iris ] Gagging or empty retching, * Painless diarrhoea, 
stools profuse, watery, and gushing, with cramps in the feet, 
calves, and thighs. Restless sleep, with half-closed eyes. 

PULSATILLA. *Chiefly useful where the disease has 
been induced by eating fat, crude, indigestible food or fruit. 
Vomiting food, bile, or mucus. Stools greenish, bilious, watery, 
worse at night. Wants to be in a cool place, or in the 
open air. 

VERAT. ALB. Countenance pale or bluish, with cold sweat 
on forehead. Eyes sunken, nose pointed, mouth and lips dry. 
Pulse frequent, very weak, [Ars.] * Intense thirst for cold 
and acid drinks. ^Violent nausea and vomiting, with pro- 
fuse watery diarrhoea, and severe pinching colic. Great sinking 
and empty feeling in abdomen after stool. Cramps in abdomen 
and extremities. Great anguish and fear of death, [Ars.] 

For further treatment, see Cholera Asiatica. 

CLINICAL OBSERVATIONS. If attack was caused by 
overeating or partaking of indigestible food, induce patient 
to vomit by giving tepid water or tickling fauces with a 
feather or something similar. 

In many instances taking copious draughts of water — hot 
as can be borne- — will promptly relieve. 

If extremities incline to coldness, keep them warm with 
bottles of hot water, hot bricks, or friction with dry hands. 

DIETETICS, Mucilaginous drinks, as rice-water, barley- 
water, gum- Arabic water, etc., are preferable. A little 
mutton, chicken, or beef broth may be taken a£ regular 
intervals; but in no case should solid food be allowed until 
patient has wellnigh recovered. 



CHOLERA INFANTUM. 

PROGNOSIS. Must be guarded. 

Bad Signs. — Extreme restlessness; or apathy and stupor; 
convulsions; incessant vomiting; frequent and copious stools; 
pinched countenance ; extremities cold, blue and shriveled. 

Favorable Signs. — Cessation of vomiting ; stools dimin- 
ished in quantity and frequency ; natural sleep; less thirst; 
returning appetite. 

TREATMENT. Leading indications, 

ACONITE. In the beginning, hot skin, quick pulse, and sleep- 
lessness. Stools green, watery, or white slimy mucus. Before 
and during stool, cutting pain and tenesmus. Nausea and 
vomiting what has been drunk. *Restlessness, child turns 
from side to side. 



CHOLERA INFANTUM. 69 

JETHTJSA CYN. In bad cases. Stools light-yellow or 
greenish liquid. Before stool, pinching, cutting pain in 
abdomen. Violent vomiting coagulated milk. *Spasms, with 
stupor and delirium, clinched thumbs, eyes drawn down- 
ward, pupils dilated. Symptoms of hydrocephaloid, [Cal. phos.] 

ANTIMO. CRTJD. Tongue coated white. Violent vomiting 
slimy mucus or lumps of curd, worse after eating or drinking, 
[see Ars.] Stools watery and profuse. Pain before and 
during stool. Protrusion of rectum. *The child cannot 
bear to be looked at. Caused from disordered stomach, 
[Puis.] 

APIS MEL. Tongue dry and shining. No appetite or 
thirst. Stools greenish, yellowish, slimy mucus. During stool, 
griping and tenesmus. Tenderness of abdomen to pressure. 
The disease slightly improves for a time, then relapses again, 
when from anaemia and nervous exhaustion it terminates in 
hydrocephaloid. * Aggravation in morning. 

ARSENICUM. Pale, death-like countenance. Skin dry 
and shriveled. Stools thick, dark green, or dark, watery, 
offensive. Cutting pain before and tenesmus during stool. 
*Vomiting immediately after drinking, [Verat.] *Great 
restlessness, extreme prostration, and thirst, drinking but 
little. Aggravation after midnight, [Rhus.] 

BELLADONNA. Face pale or flushed. Great dryness of 
mouth and lips. Tongue coated white in middle, with red 
edges. Stools thin green mucus, or bloody mucus. Delirium 
worse during and just after sleep, with desire to get out of bed. 
*Sleepy, but cannot sleep, [Opi. ] *Child cries out suddenlj\ 
and ceases as suddenly. *Sudden starting at noise and 
during sleep. 

BENZOIC AC. Fetid, watery, white stools, very copiotis and 
exhausting, [Podo.] During stool much pressing or strain- 
ing. *Strong-smelling urine, mostly dark-colored. Trouble- 
some and dry hacking cough. Tongue coated with white 
mucus, or ulcerated. 

BORAX. Pale clay-colored appearance of face. Aphthae 
in mouth and on tongue. Light yellow, slimy mucus, or green- 
ish, watery stools. *Fear of falling from downward motion, 
even during sleep. *Easily startled at sudden noise, with 
nnxious screams, [Bell.] Loss of appetite, with loathing 
the breast. 

BRYONIA. Dry, parched lips and mouth. Thirst for 
large quantities of water at long intervals, [reverse, *Ars. 
Chin.] *Vomiting food soon after taking it, undigested. 
Stools brown, thin fecal, or undigested. Before stool, child 
cries out, and cannot bear to be moved. *Gets faint and 
sick on sitting up. After cold drinks, fruit, or getting over- 
heated. 

CALC. CARB. Children with large heads and open fonta- 
nelles, scrofulous, [*Sil. Sulph.] Swollen, distended abdomen, 
with emaciation and good appetite. Skin dry and shriveled. 



70 THERAPEUTIC KEY. 

Stools whitish, and watery, or chalk-like; undigested, [Po&o.] 
Vomiting sour substances. * Profuse sweat on head when 
sleeping, [Sil.] *Cold, damp feet. 

CAMPHOR. Sudden attack. *Great and rapid prostra- 
tion, [see Ars.] *Skin cold, yet child will not remain cov- 
ered. Vomiting and purging sometimes absent, only coldness 
and prostration. 

CALG. PHOS. Delayed closure, or reopening of fontanelles. 
Point of nose icy cold. Upper lip swollen, and cold sweat on 
face. Vomits often and easy. Craves bacon. Abdomen sunken. 
Stools green, loose, and sometimes slimy. Suffocative attack 
when lifted up. 

CARE. VEG. Great paleness or gray-yellow color of the 
face. Stools light colored; involuntary ; putrid: cadaverous 
smelling, [Sil.] Mostly in last stage, and where the vital 
powers are greatly exhausted. Restlessness and anxiety, 
worse towards evening. *Emission of large quantities of 
flatus, inodorous, or putrid. 

CHAMOMILLA. Redness and heat of face, sometimes one 
cheek red and the other pale, [Aeon.] Tongue coated thick 
yellow, or white. Vomiting sour food, or slimy substances. 
Green, watery, corroding stools with colic ; also mixed white and 
yellow mucus, like chopped ep-gs, [Nux m.] Colic before and 
during stool. *Child very fretful ; must be carried all the time. 

CHINA. Tympanitic distension of abdomen. Stools yellow, 
watery, undigested, painless, or blackish and offensive. 
Before stool, colic, relieved by bending double, [Colo.] 
Patient worse after eating and at night. *Great weakness 
and inclination to sweat. * Worse every other day, [Amb.] 

CINA. *Disposition to pick and bore at the nose; 
troubled with worms. White papescent stools. *White, 
turbid or jelly-like urine, [Phos. ac] Restless sleep, frequent 
changing position, and waking with cries. Grinding of teeth 
during sleep. 

CR0T0N TIG. Dry, parched lips. Nausea and vomiting 
water, mucus and bile, especially after drinking. Yellow 
watery, dark green or greenisli yellow stools, coming out like 
a shot, [Gum. g.] *Worse after driuking, while nursing. 
Great prostration after stool, i 

DULCAMARA. Dry heat of skin, and violent thirst. 
Stools yellowish, green, watery or whitish. Colic before 
and during stool. *The child gets worse at every cold 
change in weather, or from exposure to cold air. Suitable 
after taking cold or getting wet, [getting overheated, Bry.] 

GUIOL GUTT. Loud rumbling and gurgling in bowels. 
Stools thin yellow fecal, or dark green and offensive. *Sudden 
expulsion of stool, coming in a gush, [*Jatro.] Nausea and 
vomiting after eating or drinking, [Ars.] The child seems 
to crave food, but little satisfies it. Aphthae in mouth. 

IPECAC. Pale face, with blue margins around the eyes, 
[Jatro. Phos.] Yellowish or white- coated tongue. * Almost 






CHOLERA INFANTUM. 71 

constant nausea and vomiting, [see Verat.] The child throws 
up its food and large quantities of green mucus. Stools 
grass-green mucus, or white, fermented, like yeast, [Am.] 
Colic and sick stomach before and during stool. * After 
vomiting, inclination to sleep. 

JATRO. CUR. *Stools watery; profuse; gushing out like a 
torrent, [Cro. t. Gum. g.] Vomiting dark green bile, or 
watery albuminous substances, [milky white, iEth.] Liquid 
gurgling in abdomen, [Gum. g.] 

LAUROCERASTJS. Sunken countenance; livid grayish 
yellow complexion. Eyes staring or lightly closed. Tongue 
white and dry, with violent thirst. Pulse slow, irregular or 
imperceptible, [Verat] Stools green, liquid, mucus, involun- 
tary. Cutting pain before and tenesmus after stool. *Bat- 
tling sound of liquids when passing through the oesophagus. 

MAGNESIA C. Face dark yellow. No appetite, violent 
thirst, inclination to vomit. *Stools green and slimy, like 
the scum of a frog-pond, smelling sour. Before stool, 
cutting and pinching in abdomen ; after stool, tenesmus. Worse 
in hot weather and during dentition, [see Cham.] 

MERCTJRITJS. Dry lips, with ulcerated corners of the 
mouth. Tongue coated as with fur. Stools yellow, color 
of sulphur [Colo.], sometimes green, slimy or bloody. 
Frequent scanty excoriating stools. * Colic before, and tenesmus 
during and after stool. *Great tenderness over stomach and 
abdomen. Cold, clammy sweats, especially at night. 

NTJX MOS. Great languor; cold, dry skin, little thirst. 
Colic worse after eating or drinking; relieved by application 
of moist heat. Stools thin, yellow, like beaten or stirred eggs, 
[*Cham.] undigested, watery, slimy. Colic before and 
urging during stool. * Great drowsiness and dullness of sense. 
Worse at night, and in cool damp weather, [Merc] 

NTJX VOMICA. Tongue coated thick yellowish white. 
Swelling of gums, fetid ulcers in mouth. Vomiting sour- 
smelling mucus. Frequent, small, watery, slimy, dark-colored 
mucus stools. Colic before and violent straining at stool; 
relief after stool. * After gastric medicines, and where 
changing child's food has caused the trouble. Worse in 
early morning, [Sulph.] Very irritable. 

PHOSPHORUS. Pale, sickly complexion; hollow eyes, 
surrounded by blue margins, [Ipe. Jatro.] Thirst for cold 
drinks, which are thrown up soon as they become warm in 
stomach. *Stools white, watery, containing little lumps like 
grains of tallow ; undigested. Watery stools, pouring away 
as from a hydrant. Worse in morning, and from lying on 
left side. 

PHOS. ACID. Blue margins around the eyes; violent 
thirst; loss of appetite; profuse perspiration at night. 
Stools, whitish, watery, light yellow, painless. *The disease 
is not marked by much debility, though it may continue a long 
time, [reverse, *Ars. *Verat.] 



72 THERAPEUTIC KEY. 

PODOPHYLLUM. Moaning during sleep, with half-closed 
eyes, and rolling head from side to side. Gagging or empty 
retching, [Cro. t.] *Stools watery, with meal like sediment: 
dark yellow mucus, smelling like carrion. * Profuse watery, 
painless stools, very exhausting. ^Prolapsus ani during 
stool, [Merc] Worse in morning and after eating and 
drinking. 

PULSATILLA. Tongue coated with tenacious mucus. 
Thirstlcssness. *Stools very changeable, no two alike, worse 
at night, [see Sulph.] Before stool, rumbling in bowels, 
[Phos.] During stool, chilliness, [Ars. *Merc. Sulph.] After 
use of greasy food. 

SECALE COR. Face pale, eyes sunken and surrounded by 
blue margins, [Ipe. Phos.] Dry, thick, yellowish-white 
coating on tongue. Easy, painless vomiting, without effort. 
Stools watery and slimy, involuntary, [Bell. Carb. v.] Before 
stool, rumbling in abdomen; great exhaustion after stool. 
*Great aversion to heat, or to being covered. *Thin, 
scrawny children, with shriveled skin. 

SILICEA. *Children with large heads and open fontanelles, 
[*Cal. c. Sulph] rr of use perspiration on head y particularly 
during sleep, [*Cal. c. Merc] Stools liquid, slimy, frothy, or 
bloody mucus. Colic, and distension of abdomen. Psoric 
derangement. 

SULPHUR, Child drowsy through day and wakeful at 
night. Stools very changeable, attended with pain or no 
pain at all ; worse in early morning. * Stools very excoriating, 
[*Ars. Cham. *Merc] When there are repeated relapses, 
or the case seems to linger a long while. Hot palms and 
soles. 

THUYA. Great desire for cold drinks ; rapid exhaustion ; 
oppressed breathing; great emaciation. *Stools pale-yellow, 
watery, very copious, and gushing like water from a bung- 
hole, [see *Jatro.] Aggravation in morning, and after vac- 
cination. 

VERAT. ALB. Cold sweat on forehead. Lips dry and 
dark-colored. *Vomiting excited by smallest quantity of 
liquids, [Ars. BTux v.] The least motion increases vomiting. 
Stools greenish watery, with flakes. Before stool, severe colic; 
during stool, cold sweat on forehead, [warm sweat, Merc] 
*Violent thirst for cold water. [Pulse almost imperceptible, 
[Laur.] 

CLINICAL REMARKS. If child resides in the city, remove 
it to the country. The room it is to occupy should be large, 
airy and well lighted. Keep child cool and free from excite- 
ment, and give it an abundance of fresh air. It should be 
bathed frequently in tepid water 85° F, then wrap in clean 
sheet and allow to dry without rubbing. Its clothing should 
be changed daily. Take it riding or carry it into open air 
frequently, no matter how sick it may be. 



CHANGE OF LIFE. 73 

DIETETICS. The diet is of the greatest importance. 
The mother's milk — if she be healthy — is the best food for 
child. Breast-milk, when fresh, has an alkaline reaction, 
and an average s. g. of 10.32. When doubts arise about its 
healthy quality, it should be tested, and if found wanting, 
rejected. Breast-milk being out of the question, a substi- 
tute must be found in cow's-milk or some one of the many 
preparations of "infants' food" now commended. Cow's- 
milk, when fresh, is slightly alkaline ; if of good quality add 
one part water, sweeten with sugar of milk, and add \\ 
little salt. See article "Diet of Infants." The milk should 
not be boiled, only warmed or given fresh from the cow. If 
child be greatly exhausted and emaciated, beef tea may be 
given. Great care must be taken to keep bottle, tubes, etc , 
perfectly clean, Allow no starchy food until dentition is well 
advanced. 



CHANGE OF LIFE. 

(Menopausis, Critical Age.) 

The change of life, by which is meant the period when 
menstruation ceases, embraces a period of several months, 
or may extend over two or more years. It usually takes 
place between the age of 40 and 50. While this change is 
in progress, there is more or less disturbance of the general 
health which calls for medical treatment. 

REMEDIES. Leading indications. 

LACHESIS. Burning on vertex at menopause [see Sulph.] 
Pressure on vertex, [Ign. Sep.] * Flashes of heat, [see 
Sang.] Frequent uterine hemorrhages. Cannot bear least 
pressure in uterine region. 

PULSATILLA. Anguish in region of heart, [Cocc] 
'Vertigo when rising from sitting posture or looking up. 
Alternate redness and paleness of face, {Ign.] 'Epistaxis. 
when menses should appear, [*Bry.] Disordered stomach. 
♦Better in open air or cold room. Mild, tearful disposition. 

BRYONIA. 'Exceedingly irritable. Fullness in forehead 
and splitting headache. Rush of blood to head, with bloated 
face. 'Constipation of hard, dry stools. 

COCCTILUS. Nervous weakness and fainting fits, [Con.] 
Redness of cheeks and heat in face. Reappearance of 
menses after being suppressed for a year. Palpitation oi' 
heart. 

CONTCTM. Nervous attacks, great weakness every morning. 
♦Hysteric fits with chilliness. Burning in eyes and impaired 
vision. 'Prolapsus uteri, with induration, ulceration and 
leucorrhcea, [see Sep.] 

IGNATIA AM. 'Full of suppressed grief, [Puis.] Weak, 
empty feeling in stomach, not relieved by eating, [Sep.] 
Uterine cramps with cutting stitches, [Cocc] 
4 



74 THERAPEUTIC KEY. 

SEPIA. Sadness and weeping, [Puis.] Whizzing and 
roaring in ears. *Yellowness of face, particularly across 
nose, like a saddle. *Fetid urine, with clay-colored sediment 
adhering to chamber. Prolapsus uteri and vagina, with 
burning in back. * Jerking of limbs at night. 

SANCrUINARIA. Eedness of cheeks, with burning of ears. 
*Periodical sick-headache, begins in morning, increases 
during day, lasts until evening. Os uteri ulcerated, [Con. 
Sep.] *Flashes of heat, and leucorrhoea, [see Lach. Puis.] 
Burning in palms and soles of feet. 

SULPHUR. Low-spirited, out of humor, inclines to weep, 
[see Puis.] *Constant heat on top of head, [coldness, Sep.] 
Sour eructations and great acidity of stomach. Frequent 
flashes of heat, [see Sang.] Leucorrhoea of yellow mucus, 
corroding, [Con. Puis.] Pruritis vulva, [Sep.] *Frequent 
weak faint spells. 

CLINICAL REMARKS, Much benefit will be derived from 
proper attention to diet, exercise, clothing, etc. Plain simple 
food, consisting for most part of vegetables, fruits, fresh 
beef and mutton, will be found preferable. All stimulating 
food and beverages should be avoided. Daily exercise in the 
open air, by walking, riding, etc., will be advantageous. 
The clothing should be warm and comfortable, and adapted 
to the season. Frequent ablutions, and friction of the skin 
will assist greatly in preserving the health. 



COLIC.- ENTERALGIA. 

TREATMENT. The principal remedies are :— 

For COPPER COLIC : Bell. *Hepar. Nux v. Merc. 

For FLATULENT COLIC: Bell. *Carb. v. Cham. Chin. 
Cocc. Colo. Diosc. Tart. e. *Lyc. Nux v. *Puls. 

For GASTRIC COLIC* where over-eating, or the use of 
improper food, is the cause : Ant. c. Ars. Bry. Carb. v. Chin. 
Hepar. Ipe. *Nux v. *Puls. Tart. e. 

For LEAD COLIC : Ant. c. Alum. Ars. Bell. Cocc. *Nux v. 
*Opi. Plat. Podo. Zinc. 

For SPASMODIC COLIC; Bell. Cham. *Cocc. *Colo. Cup. 
Hyos. Ipe. Nux v. Plumb. Puis. 

SPECIAL INDICATIONS. 

ACONITE. Inflammatory colic. Difficult and scanty 
emissions of urine. Great sensitiveness of abdomen, [Apis. 
Bell.] Intolerable cutting pains in belly, so violent that he 
screams, tosses about, almost beside himself. *Great fear 
and anxiety of mind. After taking cold. 

ALOES. Violent cutting pains in bowels, in region of 
umbilicus. Dull, heavy headache, with dull pains in liver. 
*Loud gurgling in abdomen, as of water running out of a 
bottle, [Jatro.] Large and prominent hemorrhoids. 



COLIC. — ENTERALGIA. 75 

ARSENICUM. Ssvere cuttting, or spasmodic, drawing 
pains, as if intestines had become twisted, [as if tied in knots, 
Verat.] Violent burning in stomach, [Nux. *Phos.] Watery 
or bilious vomiting. *Extreme thirst, drinks little and 
often. *Great restlessness, anxiety, and tear of death. 
Prostration and cold sweat. 

BELLADONNA. Pad-shaped protrusion of transverse 
colon. *Clutching in abdomen, as if seized with claws, [as 
if grasped with a hand, *Ipe.] Constriction of abdomen 
around umbilicus, as if a ball would form. External pressure 
and bending double relieves, [Chin. *Colo. Nux.] *Period- 
ical pains, which come suddenly, and cease as suddenly. 

BRYONIA. Painful twisting around umbilicus, with fre- 
quent stitches, compelling him to bend double, [see Colo.] 

* Wants to keep perfectly still, least motion or pressure in- 
creases pain. Vomiting bitter bile and water, particularly 
after drinking. *Hard, dry stools. 

CARBO VEG. Flatulent colic, with great fullness in abdomen, 
as if it would burst. Incarcerated flatus, [ *Chin. Lye] Frequent 
eructations affording no relief. *Constant pressure downwards 
in abdomen, [pressure upwards, Nux.] Audible rumbling in 
bowels, and belching sour, rancid food. * Prostration, hippo- 
cratic face, with coldness of extremities, [Ars. Verat.] 

CHAMOMILLA. Flatulent colic f abdomen distended like a 
drum. Continual drawing, tearing pains in abdomen, with 
a sensation as if bowels were rolled up in a ball, [see Bell.] 
Pressing towards abdominal ring, as if hernia would pro- 
trude, [see Nux.] Vomiting sour food or slimy substances. 
*Very impatient, can hardly answer one civilly. *He be- 
comes almost furious about the pains. 

CHINA. Flatulent colic, with thirst. Violent cutting, 
pinching pains about navel, relieved by bending double, 
[*Colo. Nux.] *The abdomen feels full and tight, as if 
stuffed, [if it would burst, Carb. v. Lye] After eating fruit 
or drinking new beer. 

COCCTJLUS. Violent spasms in stomach, with a griping, lacer- 
ating sensation. Contraction of abdomen, with a downward 
and outward pressure. Flatulent colic at midnight ; belching 
relieves. * Abdomen distended, and feels as if full of sharp 
stones when moving. 

COFFEA. Sensation as if bowels would be cut to pieces; 
horrible cries and grating of teeth. *The patient becomes 
desperate on account of pains, [Aeon.] Cannot bear to be 
touched, parts are so sensitive. Great excitability. 

COLOCYNTH. Violent cutting, constrictive, or spasmodic pains. 

* Feeling in abdomen as if intestines were squeezed between stones, 
compelling one to bend double, [relieved by stretching body out, 
Diose] Great restlessness, moaning, and lamentation. 
Afrer violent indignation, or after abuse of opium. 

CUPRUM M. Violent spasms in abdomen and in upper 
and lower limbs, by spells. Cutting and lacerating in bowels. 



76 THERAPEUTIC KEY. 

*A violent piercing pain, as if a knife were penetrating 
through from umbilicus to back; abdomen drawn in, [see 
Plumb.] Fearful cries as if he were being killed. Intussuscep- 
tion of bowels, [Verat.] 

DIOSCOREA. Flatulent colic, chiefly in persons of feeble 
digestion. Continuous twisting pains in abdomen, [remitting, 
Colo.] Pains relieved by stretching body out, or walking about, 
[reverse Colo.] 

IGNATIA. Periodical cramp colic, especially at night, in 
sensitive, hysterical persons. *Sadness and sighing, with a 
weak, empty feeling at pit of stomach. 

IPECAC. Horrid, indescribable pain and sick feeling in 
stomach. Cutting and pinching around umbilicus, worse by 
motion, and better by rest, [see Bell.] *Constant nausea, 
stooping causes him to vomit. After vomiting, inclination to 
sleep. After unripe sour fruit. 

LYCOPODIUM. Colic with incarcerated flatulence, [Carb. 
V. *Chinr) *Sensation as if abdomen would burst, [see Chin.] 
Cutting pain across the hypogastrium, from right to left, 
[from left to right, Ipe.] Belching without relief, [with 
relief, Coco.] 

NUX VOMICA. Cramp-like pains in stomach, with pres- 
sure towards thorax. Pressure in stomach as from a stone, 
[Ars. *Puls.] *Lead colic, [see Opi.] Flatulent colic, from 
indigestion, or use of improper food. *Frequent urging to stool, 
without effect, [Lye] Malicious, irritable disposition; high 
livers, and victims of drugs. 

OPIUM. *Colic from effects of lead, [*Nux v.] Bowels 
seem absolutely closed, with constant urging to stool. 
Squeezing pains as if something were being forced through a 
narrow space. *Slow pulse. 

PLUMBUM. Violent colic, with sunken abdomen. * Terrible 
contractive pains, drawing in the abdomen to back ; abdomen 
hard as a stone. Constriction of intestines, the navel and 
anus are violently drawn in. * Obstinate constipation, faeces 
lumpy, packed together like sheep's dung. 

PULSATILLA. Putrid bitter taste. Aching, drawing pains 
in stomach, must walk about to relieve pain. Frequent loose 
stools, very changeable, worse at night. Patient can't bear 
to be covered, and craves fresh cold air. * After eating rich, 
greasy food. Tearful disposition. 

VERAT. ALB. Pain here and there in abdomen, as if cut 
with knives, [Colo. Cup.] Terrible cutting pains with violent 
nausea and vomiting. Intussusception of bowels. * Intestines 
feel as if tied in knots. Anxiety, fear and despair. *Cold 
sweat over whole body. Great weakness with feeble pulse. 
After fruit or vegetables. 

AUXILIARY MEASURES. If indigestible food be ex- 
citing cause, induce vomiting by copious draughts warm 
water, tickling the throat, or placing salt or mustard on the 
tongue. 



GOLIC OF INFANTS. 77 

Large draughts of hot water often relieve colic. Hot 
fomentations, bags of hot salt, friction with dry hand, all 
beneficial. 

Warm Baths and injections of warm water often afford 
great relief. The enemas should be large, and the patient, 
lying on left side with hips well raised, should retain them 
long as possible. 



. COLIC OF INFANTS. 

TREATMENT. Leading indications, 

ACONITE. The infant has a dry, hot Bkin, is sleepless 
and restless. Child bites its fist ; seems to suffer pain, and 
has a green watery diarrhoea. If sudden joy or fright on 
part of the mother be exciting cause. 

ANISTJM STIL. One of best remedies in so-called " three 
months' belly-ache." The colic usually comes on in evening 
and is attended with distension of stomach and rumbling in 
bowels. 

BELLADONNA. # The infant cries out suddenly and 
ceases just as suddenly; it startles and moans much during 
sleep. Stools of thin green mucus. 

CALC. CAEB. In children of a scrofulous habit. *Largo 
head, with open fontanelles. White clay -like stools. Skin dry 
and flabby* Much perspiration about head. * Cold damp 
feet 

CHAMOMILLA. Colic, with loosenesss of bowels ; stools 
yellowish green and watery. Writhing pain, constant cry- 
ing and drawing up of limbs, with coldness of feet. *Very 
irritable and fretful, must be carried all the time to be 
quieted. Sleepless; starting and jerking while asleep. 

CHINA. Colic conies on at a certain hour every day, 
fevery evening, Puis.] Great hardness and fullness of nb- 
domen. *The child screams, and laughs immediately after- 
wards. Sometimes stools whitish and curdled. 

CINA. The child is very cross and troublesome. *It will 
not sleep unless kept in constant motion, must be rocked, 
carried or dandled all the time. Abdomen hard and dis- 
tended, [Chin.] 

COLOCYNTH. *Child writhes in every direction, doubles 
itself up and seems iu great distress. It screams terribly, 
twists, draws up its legs, etc. 

IGNATIA. If grief nnfii sadness on part of nursing mother 
has caused derangement of child's digestive organs. Exces- 
sive flatulence. 

IPECAC. When the cries of child are sharp, as if pains 
were of the cutting kind. The stools are fermented and of a 
putrid odor. *Much nausea and vomiting. Flatulent colic. 

LYCOPODITJM. Much rumbling and rattling in bowels. 
*The child always cries and screams before passing urine, 



78 THERAPEUTIC KEY. 

and is relieved immediately afterwards. *Red sand is found 
in diapers. 

NTJX VOMICA. Child is troubled with hiccough, constipa- 
tion,) and throwing up food. *It cries much, draws up its 
feet and kicks violently. Suitable where the nursing mother 
lives on stimulating food. 

PULSATILLA. Flatulent colic, accompanied with shiver- 
ings and paleness of faco. Rumbling of wind through the 
bowels and coldness of feet. The child always gets worse 
towards evening. 

SENNA. Child cries terribly, and turns blue during its 
cries. * Colic from incarcerated flatulence. 

VERAT. ALB. Terrible colic, which causes a cold sweat 
to stand upon surface, especially on forehead. No discharge 
of flatus up or down. 

LOCAL MEASURES. Warm fomentations, bags of hot salt, 
or what is still better, gum-bags filled with warm water 
applied to the abdomen will often afford prompt relief. If 
bowels are constipated, injections of warm water will be 
found useful. 

The nursing mother should make no sudden changes in her 
diet, avoid all indigestible food and stimulating drinks, and 
observe regular habits in all things. Never nurse child when 
overheated. - ' - . 



CONCUSSION OF THE BRAIN. 

This signifies a sudden interruption of the functions of the 
brain, caused by a blow, fall or other mechanical injuries to 
the head. 

In ordinary cases, the patient lies for a time motionless, 
unconscious and insensible ; after a time he moves his limbs 
as if in uneasy sleep, vomits and frequently recovers his 
senses instantly, remaining however, giddy, confused and 
sleepy for some hours thereafter. In the severer cases, 
patient is profoundly insensible, the surface pale and cold, 
features ghastly, breathing slow, pulse feeble and intermit- 
tent, followed speedily by death, where there is much contu- 
sion of the brain substance. 

T R EAT ME N T. Leading indications. 

ARNICA. First remedy to be thought of. Patient uncon- 
scious, insensible and drowsy. Weak intermitting pulse. 
Cold skin, with depressed vitality. 

BELLADONNA. Severe injury. Extreme restlessness and 
jactitation of muscles, with delirium. Eyes red, pupils 
dilated, [Cic] Face red and hot or cold and pale. Breath- 
ing irregular, short and hurried. 

CICUTA VIRO. Complete loss of consciousness, with 
spasms. *Staring at objects, pupils dilated, [Bell.] Op- 
pression, can scarcely breathe. 



CONSTIPATION. 79 

DIGITALIS. Great weakness, with fainting Jits, and incli- 
nation to vomit. Very slow pulse, [Opi.] 

GELSEMIUM. Heavy, half stupid look. *Head feels too 
big, [Nux. — Too small, Coff.] Sensation of a band around 
the head. Eyelids heavy, can't keep them open. Feels as 
if intoxicated. 

HYOSCYAMUS. Rolling head from side to side. *Oomplete 
loss of sense. Stertorous breathing, hiccough and vomiting 
blood. 

OPIUM. *Drowsiness and stertorous breathing. Com- 
plete loss of consciousness and sensation. Dark red, bloated 
face. Slow pulse, [see Dig.] *Constipation. 

CLINICAL REMARKS. Place patient in recumbent pos- 
ture, head well raised. If he can swallow, give Am. in water, 
otherwise adminster by olfaction. Give no stimulants, neither 
try to arouse him. If in a state of collapse apply friction to 
surface and warmth to feet. Keep patient perfectly quiet, 
and avoid all excitement. In some cases it maybe necessary 
to resort to artificial respiration, 

AUXILIARY MEASURES. If there is contusion of scalp, 
apply cloths wrung out of solution Arnica, [one drachm to 
pint cold water] and change often. Later if head becomes 
hot, use warm water instead of cold, and cover compress 
with oiled silk. 



CONSTIPATION. 

TREATMENT. Leading indications. 

JESCTJLUS HIP. Constant urging to stool, with ineffectual 
efforts, [see Nux.] Stools large, hard, dry and dark colored. 
Prolapsus ani after stool, with backache, [see Ruta.] 
*Rectum feels as if full of small sticks. Throbbing in the 
abdominal and pelvic cavities. * Hemorrhoids, with con- 
stant backache. 

ALUMINA. Great inactivity and dryness of rectum. *Stools 
very hard, knotty, and scant, [see Graph.] Sensation of 
pricking and excoriation in rectum after stool. *Muc!i 
pressing and straining to pass even a soft stool. Ailments 
from lead. 

AGARICUS. Stools first hard and knotty, afterwards loose, 
and finally diarrhoeic. Itching and tingling of anus, as from 
ascarides, [Nux.] Gastric derangements, with sharp stitches 
in region of liver. * Itching, burning, and redness of feet 
and hands. Hysterical subjects. 

AMMON. MTJB. Whining, peevish, unsociable mood 
Empty eructations, and painful stitches in left hypoclion- 
drium, early in morning. Stools large and hard, followed by 
soft stools, [see Anac] *Large, hard stools, crumbling as 
they pass from anu<, [Mag. m] Faeces covered with glairy 
tough mucus. 



80 THERAPEUTIC KEY. 

ANACARDITJM. Frequent ineffectual urging to stool. 
*The rectum feels as if stopped up with a plug, [see Nux.] 
If expulsion does not take place soon, a painful twitching is 
felt across the abdomen. Stools, first loose, afterwards hard 
and of a pale color. 

ANTIMO. CRTJD. Hard stool, with very difficult expulsion. 
Alternate diarrhoea and constipation of aged persons, [Bry. 
*Phos.] *Sensation as if a copious stool would take place, 
when only flatus is expelled ; finally, a very hard stool is 
voided. Milk-white tongue. 

APIS MEL. Pain in eyeballs and forehead. Inability to 
fix the thoughts on any subject. Tenderness of abdomen to 
pressure, [Bry. Nux.] *Sensation in abdomen as if some- 
thing would break if much, effort was made to void the 
stool. 

BELLADONNA. Constipation with tendency of blood to 
head. When stooping, blood rushes to head, followed by 
giddiness. *Violent throbbing and stitching pains, particu- 
larly in forehead. Plethoric individuals. 

BRYONIA. Lips dry and parched, with much thirst for 
large draughts of water. Frequent eructations, especially 
after a meal; food is vomited immediately alter eating. 
Headache as if skull would split; worse from motion, [Am. 
C. Bell.] *Hard, dry stools, as if burnt. Irritable mood. 

CALG. CARB. *Stools large, hard, and sometimes only 
partially digested, [Hepar.] After stool a gloomy feeling in 
head. *Cold, damp feet. Women who suffer with profuse 
and too frequent menses, [Bell.] 

CATJSTICUM. Frequent and unsuccessful desire to pass 
stool, with pain, anxiety, and redness of face. * Stools tough, 
light-colored, whitish, shining like grease. Soft, small stool, 
size of goose-quill, [see *Phos.] Soreness in anus and 
rectum when walking. Constipation of children. 

CHELIDONITJM. Persons subject to hepatic diseases. 
Sallow, jaundiced complexion. ^Constant pain under lower, 
inner angle of right shoulder-blade. Shooting pain from liver 
to back. *Stools like sheep's dung, [*Plum. Rata] 

GRAPHITES. *Stools hard and knotty, the lumps united 
by mucous threads, [see Alum.] Sometimes a large quantity 
of mucus is expelled with stool. Unhealthy skin, [Cal. c. 
Sil.] *Itching blotches over the body, which emit a glutin- 
ous fluid. 

IGNATIA. Anxious desire for stool, with inactivity of 
rectum, [Alum.] Constipation from taking cold, or riding 
in a carriage, [see Plat.] * After stool, a violent stabbing 
stitch, from anus upwards into rectum. *Full of grief, with 
a weak, empty feeling in stomach. Blind piles, prolapse 
with every stool, [Rhus. Sep.] 

I0DIUM. Constipation of scrofulous people, with low 
cachectic state of the system. *Stools hard, knotty, and 
dark-colored, [see [Graph.] Chronic headache and vertigo, 



CONSTIPATION. 81 

especially in old people. Throbbing in the head at every 
motion. 

KALI CARB. Inactivity of rectum, [Alum. Ign.] The stool 
is too large, and there is a sensation as if the rectum were 
too weak to expel it. * Distress, with stitching colicky pains an 
hour or two before stool. Aged persons inclined to be fleshy. 

LYCOPODITJM. Ineffectual urging, particularly in evening. 
Stools very hard, scant, and passed with great difficulty. Sensa- 
tion after stool as if much remained behind. Acidity and 
heart-burn, with great drowsiness after dinner, [Phos.] Much 
fermentation in abdomen. *Loud rumbling and gurgling in 
bowels. *Red sand in urine, [Phos. Sil.] 

MAGNESIA M. Frequent and severe pressure on rectum 
with colic. Knotty stool, like sheets dung, covered with blood 
and mucus. *Large difficult stools crumbling when passing 
from the anus, [*Am. m.] Throbbing in the stomach, with 
dullness of head. 

NITRIC ACID. Painless constipation. Stools hard, dry and 
scant. Headache ; head feels as if surrounded by a tight 
bandage, [Merc. Sulph.] Sour or bitter taste after eating ; sour 
eructations, [see Nux.] Excessive flatulence. *Fetid, strong- 
smelling urine, like that of horses, [Chin. S.] 

NUX VOMICA. Constipation with rush of blood to head. 
Stools large, hard, and passed with difficulty. Frequent urging 
to stool, without effect, [Bry. Lye] *Sensation as if anus 
were closed, or too narrow. Frequent eructations of sour or 
bitter fluids. *Sensation as if a stone or lump of lead were 
in stomach. Persons of sedentary habits and pregnant women 
[Bry. Lye. Sep.], high-livers and victims of drugs. Blind or 
bleeding piles. 

OPIUM. Torpor of the bowels, after chronic diarrhoea, or 
from abuse of cathartics, [Nux.] Costiveness for weeks, 
with loss of appetite. * Stools nothing but small, hard black 
balls, [see Plumb.] *Constipation from fright or fear. 
Paralysis of intestines. 

PHOSPHORUS. Persons with phthisical constitutions, 
lean and slender. *Stools long, narrow, and hard, like a 
dog's; very difficult to expel, [see Canst.] Alternate diar- 
rhoea and constipation of old people. *Belching large quan- 
tities of wind after eating. Very sleepy after meals, especially 
after dinner. 

PLATINUM. Constipation while traveling. Stools very 
scant; they are like putty, and stick to anus. *Cramp-like 
pressing in temples from without inwards. Low-spirited and 
very nervous. Suitable after lead poisoning, [Alum. Opi.] 

PLUMB. MET. Constipation with violent colic. *Stools 
composed of little, hard, black-brown balls, resembling 
sheep's dung, [Chel. Ruta.] A sense of constriction in 
sphincter ani, with ineffectual urging. 

PULSATILLA. Constipation, consequent upon eating rich, 
greasy food. Alternate diarrhoea and constipation, [Ant. o. 
4* 



82 THERAPEUTIC KEY. 

Rry. *Phos] Adapted to females, or persons of a mild, 
gentle, tearful disposition. 

RUTA GRAV. Hard, scanty stool, almost like sheep's 
dung. *Frequent urging to stool, with protrusion of rectum, 
[Ign. Nux.] Great difficulty in voiding the stool on account 
of protrusion of rectum. Constipation following mechanical 
injuries, [Arnica.] 

SARSAPARILLA. Obstinate constipation, with urging to 
urinate. Desire for stool, with contraction of intestines and 
pressure downwards. *Feeling as if the bowels would be 
pressed out during stool. Frequent scanty emissions of 
urine, especially at night. 

SEPIA. Hard, knotty stools, sometimes mingled with 
mucus, with cutting pains in rectum, [see Mag. m.] *Sense 
of weight or of a lump in anus, not relieved by stool. Es- 
pecially suited to pregnant women, or to females suffering 
from uterine difficulties. 

SILICEA. Difficult stools as if the rectum had not power to 
expel them. * After much effort and straining, the stool 
recedes back into rectum after having been partially expelled. 
Constipation of females, particularly before and during men- 
struation; also of infants and scrofulous children. 

SULPHUR. Stools hard, lumpy, mixed with mucus, fol- 
lowed by burning pain in anus and rectum, [Sep.] Hard, 
knotty stools, accompanied by hemorrhoids. The first effort 
at stool is often very painful, compelling one to desist. Flashes 
of heat and throbbing headache. * Constant heat on top of 
head, [coldness, Verat.] * Frequent weak, faint spells. 

SULPHURIC AC. Hard knotty stools, streaked with blood, 
very fetid, [stools lumpy, covered with mucus, Hydras. J 
Pain during stool as if rectum would be torn. *Much de- 
bility,. with a tremulous sensation over w T hole body, without 
trembling. Sour eructations, 

THUYA. Violent pain in rectum during stool. Discharge of 
large, hard, brown faeces, in balls, streaked with blood, 
[Sulph. ac] Painful contraction in anus and rectum, fol- 
lowed by tearing pains in bowels, [Nux.] *Copious and 
frequent urination, with burning in urethra. 

VERAT. ALB. Chronic constipation, particularly of infants. 
Stools large and very hard. Inactivity of rectum ; it seems 
as if paralyzed, [Alum.] *Much straining, with cold per- 
spiration on forehead. * Great exhaustion and faintness 
after stool. 

ZINCUM MET. Hard, dry, insufficient stool, with much 
straining, and rumbling in bowels. * Trembling of hands, 
with coldness of extremities. *Chronic sick headache, and 
great weakness of sight. Fidgety feeling in feet and legs, must 
move them constantly. 

AUXILIARY MEASURES. Patient should respond promptly 
to the call of nature. At a certain hour daily, [say alter 



CONVULSIONS, SPASMS. 83 

breakfast] retire to water-closet and solicit an evacuation. 
Kneading abdomen, first over small intestines, then beginning 
near right groin, pressing gently upwards, following course 
and direction of colon, will aid materially in expelling 
delayed contents of bowels. 

In some cases it will be necessary to use mechanical 
means to relieve the bowels. Injections of warm water or 
soap water will generally answer the purpose; they should 
be large, and patient, lying on left side with hips well raised, 
should retain them long as possible. 

When impacted faeces fill the rectum, and cannot be ex- 
pelled by the natural powers, they must be removed by a 
scoop, spoonhandle, or some such means, care being taken 
not to injure the parts. 

DIETETICS. Corn bread, cracked wheat, oatmeal, bread 
of unbolted flour, together with juicy fruits, as apples, figs, 
pears, peaches, prunes, grapes, cherries, melons and vege- 
tables generally are very useful. A glass of water drank 
every morning before breakfast is beneficial in habitual con- 
stipation. Drinking a cup of hot water several times a day 
will also have a salutary effect. 



CONVULSIONS, SPASMS. 

TREATMENT. Leading indications. 

ACONITE. High fever, dry, hot skin, anxiety, restlessness. 
During dentition, [Bell. Cham. Coff. Gel.] If caused from 
irritation of ascarides, [Cin.] Grinding of the teeth and 
convulsive hiccough. 

ARSENICUM. Spasms preceded by great restlessness, 
and burning heat. *Extreme thirst, drinking little and 
often. Patient lies motionless, as if dead ; finally, mouth is 
drawn first to one side and then to other ; a violent jerk 
appears to pass through whole body. 

BELLADONNA. Heat of head, flushed face, red eyes, 
and dilated pupils, [Opi.] *Starting, jumping during sleep. 
Drowsiness, with inability to sleep. Convulsive motion 
of mouth, facial musoles, and eyes. Foam at mouth, grating 
of teeth. *Drowsiness after spasm. Precocious children. 

CAUSTICTJM. Convulsive motions of extremities, grinding 
of teeth, laughing or weeping. Feverish heat of body, with 
coldness of hands and feet. Cold water brings on spasms 
again. 

CHAMOMILLA. Stretching of limbs, with convulsions of 
extremities, eyes, eyelids, and tongue. Jerking and twitch- 
ing during sleep, [Bell.] *Kedness of face, or one cheek 
red and other pale. *The child is very cross and fretful, 
must be carried all the time to be quieted. Hot sweat on 
forehead and hairy scalp. Constant moaning and craving 
for drink 



84 THERAPEUTIC KEY. 

CICUTA. Spasmodic rigidity of the body, with head 
bent either backward or forward. * Without any premoni- 
tory signs, child becomes suddenly stiff, with fixed eyes. 
After spasm, much prostration. If caused by worms, [Cin.] 

CINA. Spasms of the chest, followed by rigidity of the 
limbs or of the whole body. Especially suited to children 
troubled with worms. *Constantly picking and boring at 
nose, [Phos. ac] Frequent swallowing, as if something 
were in the throat. Dry, hacking cough. * Urine turns 
milky after standing. 

CUPRUM. Shrill cries during attack. Drowsy and 
stupid during intervals, with nausea and vomiting phlegm. 
* After convulsions, child screams, turns and twists in all 
directions. If caused from retrocession of scarlatina erup- 
tion, [Bell. Ipe.] 

GELSEMIUM. Spasms during dentition, with sudden 
loud outcries, [violent screaming, Cicu.] Nervous, excita- 
ble persons who are very sensitive. 

HYOSCYAMUS. Convulsions with twitching and jerking 
of all the muscles, especially those about face and eyes. 
*Convulsions trembling and foam at mouth. After sudden 
fright, [Opi.] *Cough worse when lying down, relieved by 
sitting up, [Puis.] 

IGNATIA. Sudden starting from a light sleep, with loud 
screaming and trembling. *Single parts seem to be con- 
vulsed, or single muscles here and there. *The spasms 
return every day at same hour. 

IPECAC. *Much nausea and vomiting accompanies 
spasms. Especially if caused by eating indigestible food, 
or when during an exanthematic fever eruption suddenly 
strikes in. Green diarrhceic stools. 

OPIUM. Trembling over whole body, and tossing about 
of limbs. *Loud screaming before or during spasm, [Cicu ] 
The child lies unconscious, as if stunned, with difficult 
breathing. *Convulsions from fright, [Aeon. Gel.] Deep 
sleep after spasm. 

SECALE. Twitching of single muscles, [see Ign.] Twist- 
ing of head to and fro. Contortions of hands and feet. 
Labored and anxious respiration. *Thin, scrawny children, 
with shriveled skin. 

SILICEA. * Spasms which return at change of moon. 
Much perspiration about the head. ^Constipation, the 
stool recedes after having been partially expelled. Convul- 
sions after vaccination. 

STRAMONIUM. Convulsions from fright, with tossing of 
limbs and involuntary evacuations of faeces and urine^ [see 
Opi.] * Awakens with a shrinking look, as if afraid of first 
object seen. If caused by suppressed or delayed eruptions, 
[Sulph.] 

SULPHUR. After suppressed eruptions. * Comes out of 
spasm very happy, and at termination of paroxysm passes 



COUGH.— TUSSIS. 85 

much colorless urine. *Morning diarrhoea. Scrofulous 
children. 

ZINCUM. *The child cries out during sleep, seems 
frightened when getting awake, rolls its head from side to 
side, [Bell.] Twitching and jerking of different muscles, 
more on right side than on left-. Cross and irritable. Fre- 
quent passages of urine. 

AUXILIARY MEASURES. If convulsions are caused by 
indigestible food or overloading the stomach, excite vomit- 
ing by tickling the throat, or placing a pinch of salt or 
mustard on the tongue. If caused by constipation, relieve 
by injections. If caused by teething, lance gums if swollen 
and painful. 

During the spasm, place lower extremities in warm water 
to the knees and add hot water frequently to raise the tem- 
perature, or wrap child in blankets wrung out of hot water, 
and apply cold water compresses to the head. Put two or 
three drops Amyl Nitrite on a napkin and let patient inhale. 
This will often cut short the spasm. The inhalation of a 
few drops of Camphor will sometimes relieve. Chloroform is 
sometimes given with the best of results in infantile convul- 
sions. 

COUGH.-TTJSSIS. 

TREATMENT- Leading indications. 

ACONITE. Short, dry cough, arising from constant tickling 
in larynx, excited by smoking or drinking; worse at night. 
Stitches in chest, hindering respiration. Cannot breathe 
freely, the lungs feel as if they would not expand. * Persons 
of a plethoric habit, [Bell.] Induced by a cold west wind, 
[Hepar.] 

ARNICA. Dry, short, and tickling cough, particularly in 
morning after rising. Also for a cough with expectoration of 
mucus and coagulated blood. Stitching pain in side of chest, 
increased by coughing, [Bry.] *The chest and abdomen 
feel as if bruised. 

ARSENICUM. Dry cough at night, as if caused by smoke 
of sulphur, with a sense of suffocation, [see Chin.] Cough 
with scanty, difficult expectoration, sometimes streaked with 
blood. Anxious and oppressive shortness of breath, particu- 
larly when going up-stairs. * Anxiety, restlessness; thirst, 
drinks little and often. 

ARUM TBI. Loose cough, particularly in children and aged 
persons, where there is inability to expectorate the mucus, 
[Ipe.] Hoarseness; sore throat of clergymen and singers, 
throat feels as if excoriated. *Discharge of gleety fluid 
from nose, excoriating the parts. 

BELLADONNA. Dry spasmodic cough, worse at toight,. 
wakes from sleep. *Soreness in chest, children cry when 
coughing, [Cham.] Sensation as if down or dust were in throat, 



86 THERAPEUTIC KEY. 

causing a constant tickling, with irresistible desire to cough. 
* Eedness and heat of face, with throbbing headache. 

BRYONIA. Dry cough, preceded by tickling or creeping 
in stomach, and vomiting food, [Nux. Puis.] *Cough at 
night in bed, compelling one to sit up, [and hold the chest, 
Nat. s.] Stitches in chest, when coughing or breathing 
deep, [*Acon. Bell.] Sensation, when coughing, as if head 
and chest would fly to pieces. *Dry, hard stools. Exceed- 
ingly irritable. 

CALC. CARB. Dry cough, especially in evening and after 
midnight, with palpitation of heart. Also cough early in 
morning, with yellow expectoration, [see Puis.] Obstinate, pain- 
less hoarseness. Tightness in chest, as if there was not room 
to breathe, [see Aeon.] * When going up-stairs out of breath, 
has to sit down, [Ars.] *Cold, damp feet. 

CAPSICUM. Dry cough, worse in evening and during 
night. Throat red, sore, burning. Headache and inclination 
to vomit during cough, Throbbing pain in chest. *Shud- 
dering and chilliness in back. 

CAUSTICUM. Short, dry cough, caused by tickling in 
throat. * Worse in evening until midnight, relieved by 
drinking cold water, [worse from Squil.] *Cough with 
involuntary emissions of urine, [Puis. Verat.] Soreness 
of chest when coughing. Hoarseness, particularly in 
morning. 

CHAMOMILLA. Dry, tickling cough, worse at night, even 
during sleep, especially in children. Hoarseness and rattling 
in trachea, *One cheek red and the other pale, [Aeon. Nux 
v.] Patient very irritable. *Children very cross and want 
to be carried all the time. 

CHINA. Dry, hacking cough, as if caused by vapor of 
sulphur, [Ars. Ign.] Cough excited by laughing, talking, 
drinking, or deep inspiration, [Dros. Phos.] Also cough 
with expectoration of clear tenacious mucus, or blood-streaked 
mucus. * After hemorrhage from lungs, and other debili- 
tating losses. 

CINA. Dry, spasmodic cough in children troubled with 
worms. The child starts suddenly, gasps for breath, coughs 
and gags as if something in throat, [see Ipe.] ^Continually 
picking and boring at nose, [Phos. ac.] *The urine turns 
milky. 

DROSERA. Loose cough, with expectoration of yellowish 
mucus; hoarse bass voice. *Spasmodic, nervous and sym- 
pathetic cough. Pain in chest and under ribs when cough- 
ing, obliging patient to hold painful part with the hands, 
[see Bry.] Worse at night when lying in bed, after singing 
or laughing, [Phos.] 

HEPAR SULPH. C^oupy cough, with loose rattling phlegm 
in windpipe, [Sam.] *Rattling, choking cough, worse after 
midnight. Also, for dry, hoarse cough, worse in morning. 
*Cannot bear to be uncovered, the least exposure to cold 



COUGH, — TUSSIS. 87 

excites cough, [Rumex.] Anxious, hoarse, wheezing respi- 
ration. 

HXOSCYAMTJS. * Dry spasmodic cough, especially at night 
an*. </hen lying down, relieved by sitting up, [Puis. Rhus.] 
Hysterical females and young girls, [pregnant females, Con. 
Nux m. Sabi.j 

IGNATIA. Dry, spasmodic cough, as if caused by vapor of 
sulphur or dust, [see Chin.] Constant hacking cough in 
evening in bed. *Full of grief, with weak empty feeling in 
stomach. *Stitches in hemorrhoidal tumors during every 
cough. 

IPECAC. Dry cough, caused by tickling in upper part of 
larynx, [tickling in chest, Phos.] Suffocative cough, with 
rattling mucus in bronchial tubes when breathing, [Sam.] Chil- 
dren when coughing almost suffocate, and become purple in 
face. *Much nausea and vomiting phlegm, [*Tart. e.] 
*The chest seems full of phlegm, but does not yield to cough- 
ing, [*Tart. e.] 

KALI BICHBO. Loose cough, with rattling in chest. 
Cough with thick, heavy expectoration of bluish, lumpy 
mucus. *Cough, with expectoration of tough, stringy mucus 
[Phos.] During cough, pain in sternum, darting through 
between shoulders. 

LACHESIS. Short, dry cough, caused by tickling in throat. 
*The slightest pressure on larynx causes a violent cough 
and a sense of suffocation, [Rumex.] Larynx and throat 
painful to touch ; cannot bear anything on neck. Worse during 
day and after sleeping. 

LYCOPODIUM. Cough, with gray, salt expectoration and 
great weakness of stomach. Morning cough with green 
expectoration and violent pain in the side. *Fan-like motion of 
alae nasi. *Red sand in urine, [Phos.] Worse from 4 to 8 p. m. 

MERCTJRITJS. Dry cough, which sounds as if whole 
inside of chest were dry. Cough with expectoration of yel- 
lowish mucus; sometimes attended with spitting of blood. 
*Sweat without relief. Worse at night and in damp, rainy 
weather, [Dulc. Rhus.] 

KATRTJM CARB. Hoarseness, with roughness of chest, 
coryza, chilliness, and scraping painful cough. * Violent 
dry cough when entering a warm room from the cold air. 
Short cough with rattling in chest. Chilliness on left side 
of thorax. 

NATRUM SULPH. *Dry cough at night, with soreness 
in chest and roughness in throat, [Merc] Has to sit up 
and hold the chest with both hands, [hold the head, *Nicc] 
Stitches in the side. 

NUX VOMICA. Dry cough, caused by a rough, scraping 
sensation in throat, [Hepar. Phos. *Puls.] Cough, with 
pain in head, as if skull would burst, oi a sensation as if 
bruised in region of stomach. *Constipation, large, hard, 
difficult stools, [Lye] After cough mixtures. 



88 THERAPEUTIC KEY. 

PHOSPHORUS. Mostly a dry cough, arising from tickling 
in throat and chest, excited by reading aloud, talking, 
laughing or drinking, [Bry. Dros. Puis.] *Dry tickling 
cough in evening, with tightness across chest, [Puis. Sulph.] 
*Long, narrow, hard, difficult stools. Tall, slender persons, 
with phthisical constitutions. 

PHOS. ACID. Cough, with expectoration of yellow 
phlegm, only in morning. Cough with purulent, very offen- 
sive expectoration. Headache when coughing, with nausea 
and vomiting food, or with involuntary emissions of urine, 
[see Caust.] 

PULSATILLA. Dry cough during night, going off when 
sitting up in bed, [*Hyos. — Worse sitting up, Kali c. *Zinc] 
Dry cough at night and loose by day, [Cham. Nux. Sulph.] 
Also, a loose cough, with yellowish, greenish, or bitter 
expectoration. * Morning cough, with much yellow, salty, 
bitter, disgusting expectoration; sometimes attended with 
vomiting. Stitches in chest, particularly when lying down. 
*A11 worse toward evening. 

SAMBUCUS. Profuse debilitating sweats. *Nightly suf- 
focative attacks from obstruction in chest, seems as if he 
would choke^ Attacks of suffocative cough in children, with 
crying. Cough worse at or soon after midnight, [Rhus.] 

SILICEA. Dry or loose cough, with expectoration of 
transparent mucus, Dry, hacking cough, with soreness of 
chest, £see Nat. S-] Also cough, with vomiting purulent 
matter. Want of vital heat, [*Ledum. Sep.] * Constipation, 
Stools recede after having been partially expelled. 

STANNUM. Loose cough, with rattling breathing. *Cough, 
with profuse greenish expectoration of a disagreeable 
sweetish taste, [Phos. Sulph.] Also cough, with yellowish 
expectoration, having a putrid taste. After every cough, a 
sore feeling in chest and trachea. Scrofulous or phthisical 
subjects. 

SULPHUR. Dry cough, with hoarseness and dryness in 
throat. Alsoy a loose cough, with expectoration of greenish 
lumps having a sweetish taste. *Much rattling of mucus in 
lungs, cough worse in morning. Dry, scaly, unhealthy 
skin. *Lean persons, who walk stooping. 

TARTAR EM. Loose cough, without expectoration. *Throat 
full of phlegm, but does not yield to coughing, [Ipe.] 
*Nausea, and vomiting large quantities of mucus, [Ipe.] 
Thirst day and night. 

VERAT. ALB. Deep hollow cough, tickling low down in 
bronchial tubes, Cough with yellow expectoration, and 
bruised pain in chest after coughing, [see Nat. s.] Violent 
cough, with blueness of face, and involuntary emissions of 
urine, [Caust. Puis.] Excessive weakness. 

CLINICAL REMARKS. Cough, though only a symptom, 
28 ofter a very prominent one, calling for special treatment. 



CRAMP, CROUP, ETC. 89 

Persons subject to cough will derive much benefit from fre- 
quent bathing in cold water and thorough friction of the 
body. Drinking freely of cold water or Gum Arabic water, 
in which a few drops of lemon juice has been dissolved, will 
often have a good effect. Strict attention should be given 
to ventilation, especially in the sleeping apartment, and all 
places where smoke or dust abound should be avoided. 

The Diet must be simple, consisting largely of vegetables 
and fruits ; all stimulating food and drinks should be dis- 
carded. 



CRAMP IN LIMBS, ETC. 

This is a sudden involuntary and painful contraction of a 
muscle or muscles. It is most frequently experienced in the 
lower extremities ; sometimes, however, it affects the whole 
body. The attacks frequently occur at night and during 
sleep. 

T R E ATM ENT» Leading indications. 

COLOCYNTH. Cramps in abdomen, also in calves, [Mux 
v.] Suitable after grief or indignation. 

CAMPHOR. *Cramps all over, in inner and outward 
parts. Cold feeling all over. 

CUPRUM. M. Violent cramps abdomen and lower limbs, 
causing patient to scream aloud. 

LYCOPO., and SEPIA for cramps occurring principally 
when walking, and during pregnacy. 

NUX VOM. *Cramps in calves and soles, especially at 
night, must stretch feet out. High livers and drunkards. 

RHUS TOX *Cramps during the day, especially when 
sitting still. 

VERAT. ALB. Cramps especially in calves, *Pain in limbs, 
as after excessive fatigue. 

A dose given every night for a week, will often overcome 
predisposition to this complaint. 

AUXILIARY MEASURES. Friction and compression of 
parts will generally give relief during an attack. For 
cramps in stomach, copious draughts of hot water, and hot 
fomentations applied externally will afford speedy relief. 

Persons subject to cramp should take cold baths, and 
make frequent use of flesh-brush. 



CROUP-CATARRHAL. 

TREATMENT. Leading indications, 

ACONITE. Inflammatory period, dry, hot skin, and restless- 
ness. After exposure to cold wind, [Hepar.] On attempting 
to swallow, child cries if from pain in throat. *Loud 



90 THERAPEUTIC KEY. 

breathing during expiration, but not during inspiration. 
*Every expiration ends in a hoarse, hacking cough. 

AMM. CATJS. Deep, weak voice ; can scarcely utter a 
word. Cough with copious expectoration of mucus, espe- 
cially after drinking. Difficulty labored, rattling breathing. 
Spasms of chest and suffocative fits, [Sam] 

BELLADONNA. Heat of head; face flushed, eyes red. Great 
soreness of larynx, when touched child seems if it would 
suffocate, [Lack.] Bright redness of fauces. Pry, barking, 
spasmodic cough. *Short, anxious inspirations, with moan- 
ing. *Sleepiuess, but cannot sleep, [Lach.] ^Starting, 
during sleep. Full habit 

CALC. CARB. Leuco-phlegmatic constitution ; profuse sweat 
on scalp; inspirations hoarse, rough, loud, and difficult, 
causing child to cry out with pain. Worse after sleeping, 
[*Lach.] Cold, damp feet. 

CHAMOMILLA. Catarrhal croup, with much hoarseness, 
wheezing and rattling of mucus in trachea. Dry, short, croupy 
cough, worse at night, even during sleep. *The child is very 
cross, and wants to be carried. *One cheek red and the 
other pale. 

HEPAR STTLPH. Loose, rattling, choking cough; air- 
passages seem clogged with mucus, [Tart, e.] Violent fits 
of coughing as if child would suffocate or vomit. *The 
child cannot bear to be uncovered, and coughs whenever any 
part of body gets cold. Great drowsiness and profuse sweat. 
Worse after midnight. 

LACHESIS. Advanced cases, threatened paralysis of lungs, 
[Tart, e.] Patches of exudation on fauces. * Larynx very 
painful to touch, the slightest pressure causes suffocative 
cough. Tossing, moaning during sleep. * Distressing aggra- 
vation after sleeping, [Calc. c] 

PHOSPHORUS. Great hoarseness with soreness of larynx. 
*Cannot talk on account of pain in larynx. *Trembling of 
whole body while coughing. Shortness of breath, which 
otherwise has a natural sound. Hoarseness after croup, with 
tendency to relapses. . 

SPONGIA. * Non-membranous croup, rough, crowing, barh'ng 
cough. Slow, loud, wheezing, and sawing respiration, or suffo- 
cative fits; inability to breathe, except with head thrown 
back. *The stridulous respiratory sound is heard during 
inspiration, and the cough, which is dry, is excited only during 
the respiratory act. 

TARTAR EM. Advanced stages, threatened paralysis of 
pneumogastric nerves. *Face cold, bluish, covered with 
cold perspiration. * With every cou<rh,*a sound as if a larg ^ 
quantity of mucus were dislodged, but none comes up, [Ipe.] 
Inspiration very difficult, short, hoarse, shrill or whistling 
The chest expands with great difficulty ; head thrown back, 
much anxiety and prostration. 

For further indications, see Membranous Croup. 



CROUP. 91 

• AUXILIARY MEASURES. Warm foot-baths beneficial. 
Immerse feet and legs nearly to the knees in warm water, 
and from time to time add hot water until the bath is as hot 
as can be borne. "While limbs are in the bath have them 
well rubbed by an assistant. When taken out, wipe dry and 
wrap in warm flannel. 

Hot fomentations to the throat and upper chest very im- 
portant; cover with oiled-silk and change frequently. Keep 
patient quiet as possible. 

Give injections of warm water unless child is very averse 
to them. See that room is supplied with an- abundance of 
fresh air. Keep temperature of room at about 70° F., and 
the atmosphere moist. 

DIET. Mucilaginous drinks, as gum-water, slippery-elm 
water, etc., during the attack; later, beef-tea, broths and milk 
may be substituted. 



CR0UP.-PSEUD0-MEMBRAN0US. 

Membranous croup is a dangerous disease, the death-rate 
running as high as 75 per cent. There is little hope when 
severe arid continued dyspnoea occurs with frequent suffoca- 
tive attacks; marked stenosis, stupor and intermittent pulse. 

The disease usually lasts from five to eight days, although 
in some cases it proves fatal in 24 or 48 hours. 

THERAPEUTICS. Leading remedies. 

ACONITE. Inflammatory period, dry, hot skin, great rest- 
lessness. After exposure to cold west wind, [Hepar.] On 
attempting to swallow, the child cries as if from pain in 
throat. *Loud breathing during expiration but not during 
inspiration. *Every expiration ends in a huarse, hacking 
cough. 

BROMINE. Great difficulty of breathing; child gasping 
for air. Spasm of larynx causing suffocation. Dry, hoarse, 
spasmodic cough, with wheezing, rattling respiration, imped- 
ing speech. * Formation of false membrane, [*Iodi. *Kali b.] 
Pulse frequent, feeble, and tremulous. Blue eyes, light hair. 

IODITJM. *Soreness and pain in throat nnd chest, which 
child manifests by grasping parts wuh hand. Dry, short, 
barking cough, with difficult breathing. Membranous croup, 
with wheezing, sawing respiration, [Kali b.] *Face pale and 
cold; voice deep, rough, and hoarse. 

KALI BICHEO. True membranous croup. The disease 
approaches gradually ; at first, slight dyspnoea, with hoarse, 
croupy cough. *The air, in passing through trachea, sounds 
if passing through a metallic tube. Hoarse, dry, barking cough. 
Tonsils and larynx red, swollen, and covered with pseudo- 
membrane. Head inclined backwards; violent wheezing and 
rattling in trachea, heard at a distance. [See Tart. e.J 



n 



THERAPEUTIC KEY. 



SANGTTINAEIA. *Pseudo-membranous croup. Wheezing, 
whistling cough ; metallic sounding; stridulous breathing. 
Loss of voice, with swelling of throat. * Circumscribed red- 
ness of cheeks. 

AUXILIARY MEASURES. See "Croup— Catarrhal," on 
previous page. Inhalations of steam with atomizer, bene- 
ficial. Slacking lime in room and allowing patient to breathe 
the vapor, is worthy of trial. A few drops Tr. Iodine placed 
on a sponge in a cup and held near the noatrils, will often 
give relief. Again: one drachm Bromide of Potassium, one 
grain Bromine, one ounce of water, administered by inhala- 
tion, has a salutary effect on dyspnoea. 

Great success is claimed from placing patient in closed 
room, keeping the temperature at 80° F., and surcharging 
atmosphere with moisture by hanging cloths wet with hot 
water about the room, or by pouring water on hot bricks or 
heated irons to generate moisture. It is said by this process 
the exudate is softened and thrown off. 

Tracheotomy has been successful after all other means 
have failed, it should therefore be resorted to in all critical 
cases. 



CRUSTA LACTEA. 

TREATMENT. Leading indications. 

ARSENICUM. Eruption dry and scaly, with terrible itch- 
ing at night. The parts are tender to touch, and bleed easily 
when scratched, [see Lye] The child has an old look, is 
weak and emaciated. Worse in the cold air, and better from 
external warmth. 

BABYTA CAEB. Scrofulous children, [see Calo. c] 
^Glandular swellings on neck and under the jaw. Eruption 
moist, with falling off of the hair. 

CALC. CAEB. Moist, scurfy eruption on cheeks, behind the 
ears, and on forehead. Thick crusts, moist or dry ; violent 
itching of whole face. *Scrofulous children, with pale, flabby 
bodies. Glandular swellings and imperfect development of 
osseous system. Cold, damp feet ; perspires after eating or 
drinking. 

CLEMATIS. Dark miliary eruptions, with violent itehing ; 
a moisture exudes from the parts, which dries into scurfs as 
the disease spreads. *Worse during the increasing moon 
and on getting warm. 

GEAPHITES. Scabby eruption, particularly on chin and 
around mouth. *The eruption has a raw appearance, and 
discharges a sticky glutinous fluid. Rawness in bends of 
limbs, groins, neck, behind the ears. Unhealthy skin; every 
little injury suppurates. 

HEPAE SULPH. Eruption in face, scurfy, very painful 
to touch. The eruption spreads by means of new pimples 



CYSTITIS. 93 

appearing just beyond the main disease. Unhealthy skin, 
every slight injury suppurates, [Graph.] The eruption 
isecretes a purulent matter. 

LYCOPODITJM. Thick crusts, the surface underneath being 
cracked and the secretion fetid. The parts bleed easily after 
scratching, [Ars.] Soreness behind the ears, in the neck, 
etc. *Red sand in the urine. 

NATRUM MUR. Raw, inflamed surface, discharging 
continually a corroding fluid, which eats away the hair. 
The parts around margin of hair especially affected. After 
the use of Nitrate of Silver, 

RHUS TOX. Thick, moist crusts, which secrete a fetid, 
bloody ichor, [see Lye] Confluent vesicles containing a milky 
or watery fluid. *The parts itch violently, particularly at 
night, and bleed when scratched. 

STAPHISAGRIA. * Yellow, acrid moisture oozes from 
under the crusts. If the scabs are rubbed off, new vesicles 
at once form, and again burst. 

SULPHUR. The child has a dry, unhealthy skin, and the 
slightest injury inclines to suppurate. The crusts and 
pimples itch violently, especially at night; easily bleeding, 
[Ars.] Aversion to water and the open air. 

LOCAL MEASURES. All external applications, as washes, 
ointments, etc., should be discarded. Keep the parts dry as 
possible. A little cold cream or vaseline may be applied to 
the parts to allay the intense itching. 

The child should be kept scrupulously clean, live out doort 
much as possible, and sleep in well-ventilated apartments. 



CYSTITIS. 

TREATMENT. Principal remedies. 

ACONITE. Dry, hot skin, thirst, and restlessness. Fre- 
quent and violent urging to urinate, with burning in blad- 
der, [Canth.] *Retention of urine, with stitches in kidneys. 
Fainfulness in region of bladder. *Great fear and anxiety 
of mind, with nervous excitability. 

APIS MEL. Stinging pains in urethra during micturiton : 
urine dark-colored and scanty, [brown, black, *Colch. Tereb.] 
incontinence of urine, with great irritation of the parts; 
worse at night and when coughing. *Sensation as if some- 
thing in abdomen would bFeak. 

ARNICA. Retention of urine, with tenesmus of the neck 
of the bladder. Urging, the urine dropping out involuntary. 
Brown urine, with brick-red sediment, [*Phos. Puis.] *Pain 
in small of the back as if bruised. After mechanical 
injuries, [Ruta.] 

BELLADONNA. Region of bladder very sensitive; urine 
hot and red; sometimes depositing a reddish sediment. 



94 THERAPEUTIC KEY. 

♦Constant dribbling of urine, involuntary ; also enuresis 
with profuse perspiration. Sensation of a worm in bladder, 
[of a ball, Lach.] * Pains come on suddenly, and cease as 
suddenly. Back feels as if it would break, 

CAMPHOR. Burning heat in bladder, [Aeon.] Retention 
of urine, with constant pressure on bladder and desire to 
urinate. Bed, thick urine depositing a thick sediment. 
Burning in urethra during micturition. *Strangury, espe- 
cially if caused by abuse of cantharides. Coldness of 
extremities, with cramp in calves. 

CANNABIS IN. Inflammation of bladder. Painful dis- 
charge by drops of bloody urine, [Canth.] Darting stitches in 
posterior portion of urethra. *Violent burning in urethra 
during and after micturition. Drawing pain from region of 
kidneys to inguinal glands, with anxious and sick feeling in 
pit of stomach. 

CANTHARIDES. Swelling and tenderness in region of 
bladder, with tensive and burning pain in loins, [Aeon.] Vio- 
lent pains and burning heat in bladder. Frequent micturition, 
with burning, cutting pains, so severe patient screams aloud. 
Constant desire to urinate, with scanty emissions of dark and 
bloody urine. 

DIGITALIS. Inflammation in neck of bladder. Continual 
desire to urinate; each time only a few drops emitted. 
♦Frequent, cutting pains in neck of bladder, as if a straw 
was being thrust back and forth. Urine dark-brown and hot. 
Can retain urine best in a recumbent posture. 

MERCURIUS. Stinging pains in small of back, with a sen- 
sation of weakness. Constant desire to urinate, with scanty 
emissions of dark-red urine, soon becoming turbid and fetid. 
The urine looks as if mixed with blood, with white flakes, or 
as if containing pus. * Worse at night, and in damp, rainy 
weather. 

NUX VOMICA. Burning* lacerating pain in neck of bladder 
and urethra, [Dig.] Painful, ineffectual desire to urinate, 
with discbarge of a few drops of red, bloody, burning 
urine, [Canth.] Spasmodic stricture of urethra, with 
retention of urine. *Constipation, with large, hard difficult 
stools. Sedentary habits ; after abuse of alcoholic spirits. 

PAREIRA BRAVA. Strangury, with violent pains in bladder, 
and at times in back. He cries aloud, and can only emit 
urine when on his knees. Left testicle paiufully drawn up. 
Pain in thighs, shooting down into feet. 

PHOSPHORUS. Contractive pain in bladder or switches in 
neck of bladder. Urine white like curdled milk, soon 
becoming turbid with brick-dust sediment. Also brown urine, 
with sediment of red sand, [*Lyc] Smarting, cutting, and 
jerking in urethra. ^Constipation, stools long, narrow, hard, 
very difficult to expel. 

PULSATILLA. Aching, burning, cutting pains in region 
of bladder. *Retention of urine, with redness, heat, and 



DELIRIUM TREMENS. 95 

soreness of vesical region externally. * Involuntary emis- 
sions of urine when sitting, coughing, or walking, [Caust. 
Ruta.] * After urinating, spasmodic pain in neck of bladder, 
extending to pelvis and thighs. Scant, red, brown urine, with 
reddish, bloody, or mucous sediment, [Am. c] Mild, tearful 
disposition. 

SARSAPARILLA. Tenesmus of bladder, with discharge 
of white pus and mucus. Urine red, fiery, turbid, containing 
flakes. * Severe pain at conclusion of urination. Urine con- 
tains a quantity of pale sand, [red sand, Phos. *Lyc] Children 
cry before and during micturition. Pain in small of back, 
extending toward genital organs. 

SULPHUR. Obstinate cases, urine mixed with mucus or 
blood; very fetid. ^Burning in urethra during micturition, 
Incontinence of urine, particularly at night. *Constant heat 
on top of head. *Lank, lean persons who walk stooping. 

TARANTULA. Cystitis, with high fever, [Aeon.] Gastric 
derangement, with excruciating pains in bladder. Th^ blad- 
der seems swollen and hard ; great tenesmus from spasmodic 
action, debilitating the patient, who passes only by drops a 
dark-red, brown, fetid urine, with a gravel-like sediment. 

AUXILIARY MEASURES. Great benefit will often arise 
from cloths wrung out of hot water and applied to region of 
bladder. Warm sitz-baths, and if the bowels be constipated, 
injections of warm slippery-elm or flaxseed tea should be 
resorted to. 

In Chronic cases benefit may be derived from washing out 
the bladder with small quantities of tepid water. Use foun- 
tain syringe, with a flexible rubber catheter. 

DIET. In acute cases adopt a mixed vegetable diet. Avoid 
meats, oysters, eggs, pastry, and all food highly seasoned with 
salt. Use no stimulants, wines, brandy, beer or ale. Let the 
drink be pure soft water. 



DELIRIUM TREMENS.-MANIA-A-POTTT. 

TREATMENT. Leading indications. 

ARSENICUM. Pale, jaundiced complexion. Bloated face 
and cold, blue skin. Fainting fits, particularly during vomit- 
ing. The patient imagines that vermin are crawling about 
the bed, and ugly animals are staring him in the face. 
*Great restlessness and fear of death. *Extreme thirst, 
drinks little and often. 

BELLADONNA. Full plethoric habit. Flushed face and red 
eyes, with dilated pupils. *Boisterous delirium, with desire 
to escape. *Frightful figures and images before the eyes, 
[Opi. *Stram.] Sudden starting and jumping while sleeping. 

BROMIDE of CAMPHOR. This medicine given in the 2* 
trit. 5 grs. every 15 or 20 minutes until sleep is secured, is 
said to have a happy effect in these distressing cases. 



96 THERAPEUTIC KEY. 

CAMPHOR. Features distorted ; eyes sunken, face, hands, 
and feet icy cold. Confusion of ideas, maniacal delirium, 
convulsions, frothing at mouth, and insensibility. *Reten- 
tion of urine, with constant pressure on bladder. 

COFFEA. Headache as if a nail were driven into brain. 
*Excessive irritability and wakefulness. Talks in his sleep 
and wakes with starting. 

HYOSCYAMUS. Twitching, jerking of muscles, especially 
those about eyes and face. Furious delirium, with wild, 
staring look, dilated pupils, throbbing carotids, [*Bell.] 
Convulsive movements ; subsultus tendinum. *Graspii)g at 
imaginary objects, muttering, and tremor of the hands, 

LACHESIS. Where throat is principally affected with 
difficult deglutition, [Bell.] *Cannot bear anything about 
his neck, not even neck-tie. Talks much, flying from one 
subject to another. *The attacks are worse in afternoon 
and after sleeping. 

NUX VOMICA. Trembling of limbs and spasmodic twitch- 
ing of muscles, [Hyos.] Makes frequent mistakes in talking. 
Delirium with frightful visions and efforts of escape. * Very 
irritable, and wishes to be alone, [fear of being alone, * Ars.] 
*Constipation, with large difficult stools. Thinks he will die. 

OPIUM. Patient lies in a comatose state, with eyes half 
open. Loud stertorous breathing. * Complete loss of conscious- 
ness and sensation. * Delirious talking, with eyes wide 
open. Pupils widely dilated or contracted. Pulse full and 
labored, or slow and feeble. 

STRAMONIUM. Disposed to talk continually. Sings and 
prays most devoutly. *Awakens with a shrinking look, as if 
afraid of first object seen. * Loquacious delirium, with desire 
to escape. Dilatation of pupils. Staring eyes, [Opi.] Grind- 
ing of teeth and distortion of mouth. 

To overcome the inclination to drink, all alcoholic bever- 
ages must be abandoned, even as medicine. 

A teaspoonful of Tr. Chincona rubra taken thrice daily for 
ten days, then twice a day for ten days longer, and lastly 
one teaspoonful a day for a fortnight, will in many. cases 
destroy the appetite for strong drink. 

Equal parts of Tr. Capsicum and Fl. Ext. Lupulinse, taken 
in teaspoonful doses as occasion may require, is said to be 
an excellent substitute for alcoholic stimulants. 

AUXILIARY MEASURES. During an attack, quietude 
should be enforced, visitors excluded, and the most favorable 
conditions enjoined to promote sleep. Allopathic physicians 
claim " great success from large doses of Bromide of Potassium 
[20 grs. in water, every two hours until sleep is procured]. 
Capsicum [30 grs. in capsules] cuts short the delirium." 

A cup of strong coffee, [without sugar or cream] is very 
beneficial. Cold affusions to head and the shower-bath 
useful, Soothe and quiet patient by kindness, using as 



DENTITION. — TEETHING. 



97 



little compulsion as possible. Have windows and doors 
securely fastened, and help at hand in case of an emergency. 
DIET. Patient should be encouraged to take nutritious 
and easily digested food. Milk, beef-tea, soft-boiled eggs, 
broths, oysters, fruits and vegetables. 



DENTITION— TEETHING. 

Temporary Teeth, [20 in number]. 
The eruption of the milk teeth is very irregular; it takes 
place, approximately, in the following order : — 

Central incisors, . . . 6th to 8th month. 



Lateral incisors, 
First molars, . 
Canines, 
Second molars, 



7th to 10th month. 
12th to 14th month. 
15th to 20th month. 
20th to 30th month. 



Permanent Teeth, [32 in number.] 
The permanent teeth put in their appearance with great 
regularity, and constitute an important means of ascertain- 
ing the child's age in the early period of life. 

First molars, ..... 7th year. 



Central incisors, 
Lateral incisors, 
First bicuspids, . 
Second bicuspids, 
Canines, 
Second molars, . 

During the period of firs* 



8th year. 

9th year. 
10th year. 
11th year. 
12th year. 
13th year. 



! dentition, the infant is especially 
liable to disease, and should receive the greatest care and 
attention during this period. 

HYGIENIC TREATMENT. The child should have a tepid 
bath [85° F.] every morning, followed by gentle, brisk 
rubbing. It is well, however, to accustom it in early life to 
the use of cold baths, as it fortifies the system and lessens 
the liability to take cold. 

In warm and pleasant weather, it should eat, sleep, and 
play out of doors. No matter how sick, if weather is suitable, 
dress properly and take it out in the open air. In summer, 
be careful to guard the head from direct rays of the sun. 
Keep it in cool place, free from noise, loud talking, and 
excitement of every kind. 

The greatest attention should be paid to cleanliness, espe- 
cially of bottles, tubes, teats, pans, spoons, etc. Napkins 
should be removed soon as they become wet or soiled. 
Never dry the diapers in room where child is or leave them 
in an adjoining room to vitiate the air, remove them at once 
to a distant place. 



98 THERAPEUTIC KEY. 

The nursery should he freely accessible to external light, and 
the temperature not under 70° for young children; when 
older, say a year, 65° will suffice. 

DIETETICS. Of the greatest importance. Where child 
cannot have its mother's milk, a proper substitute must be 
furnished. A suitable wet-nurse the most desirable, [vide 
article Wet Nurse.] Cow's milk will in most cases agree 
with the child. For a new-born infant, the cow should be 
fresh or nearly so. If the milk be rich, add one-third warm 
water and sweeten with sugar of milk. If cow's-milk will 
not agree with the child, give a gruel made from unbolted 
wheat flour, [vide Diet of Infants] which will be found an 
excellent substitute; being rich in earthy materials, it is 
especially adapted to teething children. 

A child should be fed at regular intervals of three hours 
during the day, but not at night. An infant six months old 
should not take more than two ounces of food at a time; as 
it grows older, the amount should be gradually increased. 
Never feed the child during the night; keep it warm while 
taking its food, and always place it in a semi-erect position 
while feeding . 

MEDICAL TREATMENT. 

ACONITE. *Constant restleseness, which no change of 
position seems to relieve. The child cries, whines, or frets 
and cannot be quieted. *Dry, hot skin, disturbed sleep, 
much heat about head, great thirst, [see Bell.] Green, watery 
diarrhoea or constipation. 

ALUMINA. Constipation of bottle-fed babies. Stools hard 
and knotty. *Even the soft stool voided with difficulty. 

APIS MEL. Frequent waking at night, or during sleep, 
with screams, [*Bell. Cham.] Red spots here and there 
over the skin. Urine scanty, sometimes profuse. Green, 
yellowish, watery diarrhoza, worse in morning. *Much yawning 
and uneasiness. 

ARSENICUM. Child has a pale waxen look, is very weak. 
It often vomits all fluids soon after taking them, particularly 
water, [*Verat.] * Drinks often, but little at a time, [Apis. 
Chin.] *Very restless, tossing from side to side. Fetid, 
undigested stools ; dry and shriveled skin. 

BELLADONNA. Child moans a great deal; awakens in a 
fright, with staring eyes. *Starting, jumping during sleep, 
[Ars. Hyos.] Face and eyes red, pupils dilated, head hot. 
*Convulsions, followed by sound sleep. Gums swollen and 
inflamed ; numerous small blood-vessels showing on the surface. 

BORAX. Child very nervous, starts and jumps at least 
noise, [Bell.] Sometimes it cries out, and holds on to things 
as if afraid of falling, [when carried, fears it will fall, and 
clutches, Gel.] *Cannot bear a downward motion, [Berb.] 
*Aphthae in mouth, causing child to cry out when nursiug, 

BRYONIA. Mouth and lips very dry. Child wishes to be 



DENTITION. — TEETHING. 99 

very quiet; gets faint and sick when raised up. *The food 
is thrown up soon after taking it, [*Ars. Nux.] Thirst for 
large draughts of water. *Hard, dry stools, or morning 
diarrhoea. *Desire for things which are rejected when 
offered. Very irritable. 

CALC. CAEB. Large head with open fontanelles — scrofulous, 
[Merc. *Sil. Sulph.] Head sweats during sleep, [see Rheum.] 
Child peevish and fretful ; very light sleeper. *Cold, damp feet. 
* White, chalk-like stools, or thin and whitish. *Vomiting 
milk in thick curds, [iEthu.] Swollen, distended abdomen, 
with emaciation and good appetite. 

CHAMOMILLA. Very irritable, sensitive and nervous. 
Starting, uttering sudden cries, and tossing about during 
sleep, [Bell. J * Very cross, wants to be carried all the time. 
*One cheek red and the other pale, [Aeon.] Convulsive 
twitchings of the extremities. Greenish, yellowish or whitish, 
mucous stools, smelling like bad eggs, [Nux m.] 

CICTJTA. *Grinding the teeth, with pressing jaws to- 
gether, like lock-jaw, [see Stram.] Convulsions with limbs 
relaxed, hanging down, or stiff, rigid, and extended. A 
kind of half-sleep with tossing. 

CINA. Paleness of face, particularly around nose and 
mouth. Picks or rubs the nose. * Very restless during sleep, 
must be kept in motion to be quieted. Very peevish, wants 
many things, which it rejects immediately, [Bry.] * Urine whit- 
ish like milk, [Phos. ac] Grinding the teeth. 

COFFEA. *The child is very excitable and sleepless. It 
frets and worries in a pitiful manner; cries one moment laughs 
next. Child feverish, and greatly exhausted for want of 
vleep. 

CUPRUM MET. Great uneasiness and tossing about. 
Convulsions, beginning with cramps in lower extremities and 
drawing in of fingers and toes; frothing at mouth, and choking 
in throat. Green, painful stools and vomiting mucus. 

DULCAMARA. Pale face, with circumscribed redness of 
the cheeks. Dry coryza and frequent sneezing. Diarrhoea, 
with yellowish, greenish or whitish stools. Nausea or real 
vomiting. ^Symptoms all worse by every damp, cold change 
in the weather. 

FERRUM. Dentition advances slowly, and an obstinate 
diarrhoea results. *Stools of mucus and undigested food. 
*Painless, exhausting diarrhoea, sometimes excoriating the 
parts. Vomiting food soon after taking it, [see Bry.] 
*Sudden flushing of face. Exhausting sweats. 

GRAPHITES. I nhcalthy condition of the skin. Bawness 
in bends of the limbs, on neck, and behind the ears, 
[*Hepar.] *Eruptions over head and face, with discharge 
of a sticky, glutinous fluid. Constipation of large, knotty 
stools, very offensive. 

HEPAR SULPH. Dry, herpetic eruptions on skin, espe- 
cially in bend of arms, groin, upon the face and scalp, 



100 THERAPEUTIC KEY. 

itching violently. *The gums are very tender and painful. 
Diarrhoea, stools whitish and smelling sour, [Cal. c] 
Stomach inclined to be out of order ; craves sour or strong- 
tasting things. 

HYOSCYAMUS. The child puts its fingers into the mouth, 
presses its gums together as if chewing on something. ^"Con- 
vulsions, beginning with twitching of facial muscles, 
especially about the eyes. *Deep sleep, muttering, and 
picking at bed-clothes, [Opi.] Yellow, watery, involuntary 
stools. 

IGNATIA. Frequent flushes of heat, with perspiration. 
The child awakens from sleep with piercing cries, and 
trembling all over, [*Apis.] Convulsive jerking of single 
parts. *The child is much distressed, sighs, sobs, and cries- 
Stools bloody mucus, often attended with tenesmus and pro- 
lapsus of the rectum. 

IPECAC. Pale face, with blueness around eyes. *Con- 
tinual nausea, with vomiting, [Phos. *Verat.] Diarrhoea ; 
stools green as grass, or fermented. Catarrh, with suffoca- 
tive cough and rattling of mucus in bronchia. 

KREASOTE. Very painful dentition. The protruding gum 
seems infiltrated with a dark, watery fluid. *The teeth 
begin to decay soon as through the gums. Constipation, 
with hard, dry stools, or diarrhoea with dark-brown, watery, 
very offensive stools. 

LACHES IS. *The child always awakens in distress, 
worse after sleeping, [Apis.] Convulsions, which usually 
occur as child goes to sleep. Gums dark-purple and painful 
to touch. *Difficult deglutition, can't bear throat to be 
touched. 

LYC0P0DITJM. Child sleeps with eyes partially closed, 
throwing head from side to side. Just before passing water, 
child cries and screams as if in pain. * Red sand in urine, 
[Phos. Sil.] Much rumbling of wind in bowels. Worse 4 
p. M., better during night. 

MAGNESIA CAEB. Green, sour-smelling diarrhoea of 
long duration. *Stools green, watery, resembling the scum 
of a frog-pond, [like chopped eggs and spinach, *Cham.] 
Frequent vomiting of sour-smelling substances. 

MAGNESIA PHOS. Convulsive cases, when Bell, is 
indicated, but does no good. Spasmodic colic, and loose- 
ness of bowels. 

MERCUBITJS. *Copious salivation, redness of gums, and 
sometimes little ulcers on tongue and mouth. Diarrhoea, 
with greenish, slimy, or bloody stools, with much straining, 
[Bell.] Yellowish and strong-smelling urine. Profuse 
sweating, especially at night. 

NUX MOS. Exhausting diarrhoea, with thin, yellow 
stools, like beaten or stirred eggs, [Cham.] *The diarrhoea 
is accompanied with great drowsiness. Symptoms worse at 
night and in warm weather. 



DENTITION. — TEETHING. 101 

NUX VOMICA. Child very cross and irritable, [Cham.] 
♦Constipation, with large, difficult stools, or small, frequent, 
lumpy, or brown mucus stools, [Lye] *Especially suited 
to children raised on cow's-milk, etc., or whose mothers 
indulge in highly-seasoned food, wines, etc. Aggravation in 
early morning. 

PODOPHYLLUM. Restless sleep, with half-closed eyes: 
moaning and grinding teeth. Rolling head from side to 
side, [Apis.] Green, watery or whitish, chalk-like stools, 
very offensive. Frequent gagging or empty retelling, * Morn- 
ing diarrhoea, with prolapsus ani during every stool, 
[Sulph.] Aggravation in hot weather, and after eating and 
drinking. 

RHEUM. *Constant sweating of hairy scalp, [see Calc. 
C.] Sour-smelling diarrhoea, colic before and tenesmus after 
stool, *Sour smell of whole body, which washing does not 
remove, [Mag. c. *Robinia.] l>iarrhcea worse by moving 
about, [Bry.] Restless sleep. 

SILICEA. *Large head with open fontanelles — scrofulous, 
[see Calc] Profuse sour-smelling perspiration on head, 
[Calc. c. Merc] Hard, hot, distended abdomen. The pro- 
truding gum is blistered and very sensitive. *Constipation, 
the stool recedes after having been partially expelled. Aversion 
to mother's milk. 

SULPHUR. Open fontanelles. *Eruptions on skin, attended 
with much itching. Diarrhoea with, whitish, greenish or 
bloody mucous stools, excoriating the anus, [Merc] *Early 
morning diarrhoea. Frequent vomiting of food. * Frequent 
weak, faint spells. 

SULPHURIC AC. Aphthfe of mouth and gums, with much 
slavering, [Merc] Child very irritable, cries much of i.i-j 
time. *Diarrhcea, stools like chopped, saffron-yellow mucus. 
Loss of appetite, great debility, [see Mag. c] 

VERAT. ALB. Vomiting and severe empty retching, ag- 
gravated by lea«t motion, [Zinc] * Diarrhoea, each stool 
followed by prostration and cold sweat on forehead. Cold, 
damp feeling of extremities. *Very weak, faint pulse. 
*Violent thirst for cold water. 

AUXILIARY MEASURES. When the gum is much 
swollen, tender and tightly drawn over the tooth, lance it. 
Bathing the gum with a weak solution of the indicated 
remedy, and at the same time giving it internally, will be 
found very efficacious. 

If convulsions should occur, place the feet and legs to the 
knees in hot water, and apply cold compresses to the head, 
or the whole body may be put in a warm bath and briskly 
rubbed. When the system relaxes, wrap patient in a blanket 
and let him dry without rubbing. If he cannot swallow, 
put a drop of indicated remedy on the tongue, [vide Spasms.] 
Injections of warm water often afford relief. 



102 THERAPEUTIC KEY. 

DIABETES MELLITUS. 

A disease characterized by an immoderate and morbid 
secretion of urine, in which urea is replaced by sugar or 
glucose, attended with excessive thirst and progressive 
emaciation. In some cases the quantity of urine discharged 
is excessive, amounting to three or four gallons per day, 
each gallon containing from one to two pounds of sugar. 

The pathology of this singular malady seems still to be 
wrapped in mystery, and the treatment has been in a great 
measure unsatisfactory. 

T R E AT M E N T. Leading indications, 

ARGENT MET. Whirling in head as if drunken. Emacia- 
tion and great weakness. * Urine of a sweetish taste and 
profuse. Scrotum and feet oedematous. Hectic fever, 
[Plumb.] Legs feel heavy. 

ARSENICUM. Insatiable thirst, restlessness and prostra- 
tion. * Vomiting immediately after eating or drinking. 
Frequent urging with profuse discharge of urine. Feet 
and legs swollen. "Watery diarrhoea. 

CARBOLIC ACID. Hacking cough. Copious flow of limpid 
urine containing sugar, [Phos. ac] Unusual appetite and 
thirst for stimulants, [Ars.] Languor and prostration. 

CURARE. Clear and frequent urine, with digging crampy 
pains in kidneys. Shooting pains in stomach; dryness of 
niouth, and great thirst, especially at night. 

HELONIAS. Dull, gloomy and irritable. Feeling of 
weakness and weight in region of kidneys. Passes large 
quantities of clear, pale urine of high specific gravity. 
Burning in kidneys, [see Tereb] Pain and lameness in back ; 
numbness in feet, going off by motion. 

PHOS. ACID. * Perfect indifference, with silent sadness. 
Craves something refreshing, juicy. Hawks up tough white 
mucus. *Frequent profuse emissions of watery urine, 
which forms a white cloud; urine contains sugar, [see 
Tereb.] Pain in back and kidneys, [see Helon.] Complete 
impotence. * Diarrhoea without weakness. 

PLUMBUM. Great lowness of spirits. Excessive ema- 
ciation and good appetite. Sweet taste and-sweetish beich- 
ings. *Stools hard, lumpy, like sheep's dung. Hectic 
fever, [Arg. n.] Complete impotence. 

TEREBINTHINA. Inability to concentrate his thoughts. 
Sickness of stomach after eating, [see Ars.] Burning, 
drawing from kidney to hip. Frequent urination at night, 
profuse, watery. Sugar in urine, [Carb. ac. Phos. ac. 
Uran. nit.] Rancid or acrid eructations, and burning in 
stomach. 

URANIUM NITRATE. General languor, debility and cold 
feeling. Purulent discharge from eyelids and nostrils. 
* Excessive thirst, [Ars.] Frequent urination ; urine has a 



DIARRHOEA. 103 

fishy smell. Stiffness in loins; restless at night. When 
disease originates from dyspepsia. 

DIETETICS. Diet is an important factor in the treatment, 
of diabetes mellitus. All food containing starth or sugar 
should be avoided. The following is a list of articles 
allowed : — 

ARTICLES ALLOWED. Beef, mutton, poultry, game, 
oysters, clams, butter, cheese, eggs, fish, including lobsters, 
crabs, sardines, and soups of all kinds without flour, rice, 
or other starchy subsiances. 

Vegetables. Cauliflower, spinach, cabbage, string beans, 
cucumbers, lettuce, greens, cresses, onions and olives. 

Fruits. Tart fruits, as cherries, currants, strawberries, 
gooseberries, and nuts generally. 

Beverages. Milk, cream, buttermilk, coffee with cream 
and glycerine. No alcoholic liquors of any kind. 

Bread and Pastry. Only those made from wheat-gluten 
flour. Oatmeal, cornmeal, hominy, etc., must not be used. 

FRUITS PROHIBITED. AH sweet fruits, as apples, pears, 
plums, grapes, bananas, melons, pineapples, raspberries, 
blackberries, etc. 

Vegetables Prohibited. Potatoes, beets, beans, peas, car- 
rots, turnips, parsnips, rice, sago, tapioca, vermicelli, or 
others containing sugar or starch. 

HYGIENIC MEASURES. Exercise in the open air, cool 
sponge baths, friction with flesli-brush, encouraging patient, 
and regular habits in all things have a salutary effect. 



DIARRHCEA. 

TREATMENT. The best remedies are : — 

For ACUTE diarrhoea, with sudden prostration of 
strength: *Ars. Camph. Carb. v. *Sec. Thuj. *Verat. 

ALTERNATING with Constipation: Ant. c. Bry. Calc. phos. 
Lach. *Nux v. Opi. Phos. Rhus. Ruta. 

CHRONIC: *Ars. Calc. o. Chin. Ferr. Graph. *Gum g. 
Hepar. Iod. Ipe. Kali. b. Lach. Lye. Natr. sul. Phos. *Phos 
ac. *Podo. Rhus. Sulp. Thuj. Verat. a. 

CHILL, after a: Bell. Bry. Cham. Chin. *Dulc. Merc. Puis. 
Verat. a. 

COLD, after taking : *Acon. Ars. Bell. Bry. Caust. Cham. 
*Dulc. Merc. Nux. m. Nux. v. Sulph. 

COLD DRINKS, caused by : Ars. Bry. Carb. v. Dulc. Hepar. 
Nux m. *Puls. Rhus. Sul. ac. 

DRUGS, after taking: Carb. v. Hepar. *Nux v. Puis. 

FAT FOOD, after eating: Carb. v. *Puls. Thuj. 

FRIGHT, after: *Acon. Ant. Ccff. * Opi. Verat. 

FRUIT, after eating: Ars. Bry. *Chin. Colo. *Puls. 

GRIEF, from: *Colo. *C-cl. Ign. Phos. ac. 



104 THERAPEUTIC KEY. 

INDIGNATION, from : Cham. *Colo. 
JOY, after sudden : *Coff. Opi. 
LYING-IN-FEMALES: Ant. Dulc. Hyos. Petro. 
MAGNESIA, after abuse of: *Nux Puis. Rheum. 
MERCURY, after abuse of: Chin. *Hepar. Nit. ac. 
MILK, from drinking: Ars. *Calc. c. Nat. c. *Sulph. 
OPIUM, after abuse of: Bell. Merc. *Nux v. 
OVERHEATING, after: *Acon. Aloe. Ant. Bry. *Podo. 
OYSTERS, from eating: *Brom. Lye. Sulph. ac. 
PAINLESS diarrhoea: Apis. Ars. *Chin. Colch. Cro. t 
*Ferr. Hepar. *Hyos. Phos. ac. *Podo. Rhus t. Sec. 
PEARS, from eating: *Verat al. 
PHTHISICAL persons : Calc. c Chin. Ferr. *Phos. 
PREGNANCY, during : Ant. Dulc. Hyos. Lye. Phos. 
VEAL, from eating : Kali nitr. 

WATER, impure: Zing. — Calcareous water: *Camp. 
WET, after getting : Aeon. *Rhus t. Rhod. 

LEADING INDICATIONS. 

ACONITE. Stools frequent and scanty, watery, whitish, oar 
slimy. Nausea and sweat before and tenesmus during stool. 
* Vertigo or fainting on rising up, [*Bry.] Restlessness 
and intense thirst. *If caused by checked perspiration, or 
exposure to a cold, dry wind. 

ALOES. Stools yellow fecal, copious and watery. Is driven 
out of bed early every morning, [* Sulph ] Before stool, a 
feeling of weight and fullness in pelvis. Uuring stoo\, tenesmus 
and heat in rectum and anus. *Loud. gurgling in abdomen 
as of water running out of a bottle, [Gum. g.] Worse after 
eatiny, [see Ant. c] 

ANTIMONIUM. Stools watery and profuse, with deranged 
stomach, *Tongue coated white. Violent vomiting, bitter, 
bilious, or slimy mucus ; worse after eating or drinking, [Colo.] 
After overeating y or use of acids, 

APIS MEL. Stools greenish, yellowish, slimy mucus, o - 
yellow watery, * Sensation in abdomen as if something 
would break when straining at stool. Tongue dry and 
shining; little or no thirst, [Puis.] (Edema of the feet. 
Aggravation in morning. 

ARGENT, NIT. Stools green, fetid mucus, passing off with 
much flatus. Nausea with loud eructations. Vomiting glassy, 
tenacious mucus. Aggravation at night, after midnight, 
and after eating sweet things. 

ARNICA. Stools slimy mucus, or brown fermented (like 
yeast [see Ipe.].) Bitter or putrid taste in the mouth. 
Eructations, especially in the morning, with taste of putrid 
e gg s > [see Sulph.] Aversion to food ; bad breath. Diarrhoea 
following mechanical injuries. 

ARSENICUM. Stools thick, dark green mucus, or brown, 
black, watery. Involuntary stools, [Bell *Carb. v. Ferr. 
*Hyos. Rhus. *Sec] Diarrhoea, excoriating the parts, 



DIARRHOEA. . 105 

[Cham. Gum. g. *Merc. Puis.] *Great weakness, fainting, 
and rapid exhaustion, [*Verat.] *Restlessness, constantly 
changing from side to side. *Great thirst, but drinking 
little, [Chin.] Vomiting after eating or drinking. -Worse after 
eating anything cold, [better, Phos.] 

BELLADONNA. Stools thin, green mucus, small and fre- 
quent. Clutching pains in abdomen. *Pains come suddenly, 
and cease as suddenly. *Sleepy, but cannot sleep, [Opi.] 
*Sudden starting and jumping during sleep. Worse 3 p. m., 
and after sleeping. 

BENZOIC AC. Stools watery or light-colored like soapsuds ; 
copious, very offensive, [Psor.] * Strong-smelling urine, mostly 
dark-colored. Feels weak and exhausted. 

BRYONIA. Diarrhoea in hot weather, or when induced by 
taking cold drinks, [Podo.] Stools brown, thin fecal, or undi- 
gested, smelling like rotten cheese [like rotten eggs, *Cham. 
Psor.] *Nausea and faintness from sitting up. * Thirst for 
large quantities of water. Aggravation in morning soon as 
he moves; after suppressed exanthemata, [see Sulph.] 

CALC. CAEB. Diarrhoea of scrofulous persons. Swollen, 
distended abdomen, with emaciation and good appetite. 
Stools whitish or watery, [*Phos. ac] Chronic diarrhoea, with 
clay-like stools. *Profuse sweat on head when sleeping, 
[Merc. Sil.] Sour vomiting or regurgitation of food. *Feet 
cold and damp. 

CAEB. VEG. Stools light-colored; involuntary; putrid; 
cadaverous- smelling. In the last stage and where the vital 
powers are greatly exhausted, [Ars.] *Emissions of large 
quantities of flatus, inodorous or putrid. Restlessness and 
anxiety. Worse 5 to 6 r. M. 

CHAMOMILLA. Stools green, watery, corroding with colic. 
*Hot diarrhoeic stools, smelling like bad eggs, [Psor.] Colic 
before and during stool; relief after. Bitter taste with 
bilious vomiting. *Very impatient, can hardly answer one 
civilly. Children very fretful, and are only stilled by being 
carried. *One cheek red, the other pale, [Aeon.] Worse at 
night. 

CHINA. Stools yellowish, watery, trhitish, or blackish ; spas- 
modic colic relieved by bending double. Painless, undigested. 
and watery stools, with distension of the abdomen, [Ars.] 
*Great weakness and inclination to sweat. Emissions of large 
quantities of fetid flatus. Thirst, drinks little and often, [Apis. 
Ars.] Aggravation at night, after eating, and every other day. 

CINA. White, papeseent stools. * Disposition to pick and 
bore at the nose, [Phos. ac] *White, turbid, or jelly-like 
urine, [Phos. ac] A' est less sleep, frequently changing position, 
and waking with cries. Grinding of teeth during sleep, 
[*Podc] Troubled with worms. 

C0L0CYNTH. Stools saffron-yellow, frothy, or thin, slimy, 
and watery, [Sul. ac] Before stool, cutting colic, great urging. 
*Feeling in abdomen as if the intestines were being squeezed 
5» 



106 TIIERArEUTIC KEY. 

between stones, relieved by bending double. Bitter taste in 
mouth. Aggravation after taking the least nourishment. 

CROTON TIG. Intermittent diarrhoea, with debility. *Stools 
yellow, watery, or greenish yellow, expelled with great force, 
[Gum. g. *Jatro.] Aggravation after drinking, while eating, 
[Ars. Ferr. Pod.] Gagging, with vertigo. Colic and writhing 
around umbilicus. 

DULCAMARA. Stools yellowish, greenish, watery or 
whitish. Colic before and during stool. Griping pain in 
region of navel, with vomiting mucus. *If caused by taking 
cold. Aggravated in cold, damp weather, [Nux m.] Dry 
heat of the skin. 

FERRUM. Painless, watery^ undigested stools, at night, or 
while eating or drinking, [see Cro. tig.] Bowels feel sore as it' 
bruised. Emaciation, debility, good appetite, [Calc. o. Iod.] 
Vomiting food soon after eating, [Bry.] *The least emotion 
or exertion produces a flushed face. 

GELSEMIUM. Diarrhoea, induced by sudden depressing 
emotions, fright, grief, bad news, [Opi. Phos. ac] Stools the 
color of tea, dark-yellow. Desire to be quiet. 

GUM. GUTT. Stools yellow or green, mixed with mucus ; 
very offensive. Before and during stool, strong urging, with 
hot, pinching pain. Loud gurgling as of water in the bowels, 
[*Aloe.] * Feeling of great relief nfter stool, as if an 
irritating substance had been removed, [reverse, Verat. al.j 
* Rapid expulsion of the stool. 

HELLEBORTJS. *White, jelly-like mucous stools, with 
urging and tenesmus, [*Colch. Podo.] In protracted and 
dangerous cases, during dentition. Hydrocephalus. Vomit- 
ing green or blackish substances. 

HEPAR SULPH. Painless or chronic diarrhoea. Stools 
light yellow, green, slimy, undigested. *Sour-smelling stools, 
[see Rheum.] Better after eating, [worse, *Ars. Cro. t.] 
Hot, sour regurgitation of food. *Feeling of fullness in 
stomach, with desire to loosen the clothing, [Chin. Lye] 
After the abuse of mercury or quinine. 

HYOSCYAMTJS. Painless, yellow, watery, diarrhoea, in- 
voluntary stools without consciousness, [Bell. Carb. v. Rhua 
t. Sec] Diarrhoea during typhoid fever, and in lying-in 
women. Worse ft om least mental excitement. 

IODINE. Especially in chronic diarrhoea. Stools watery, 
foaming, whitish. Patient feels better after eating, [Hep. 
Lye] *Restlessness, continually changing position. Ema- 
ciation, with good appetite, [Calc. c] 

IPECAC. Stools grass- green, mucous; fermented. Before 
and during stool, nausea and colic. * Vomiting yellow, 
green or jelly-like mucus, [Verat.] Paleness of face and 
coldness of extremities. *Flatulent colic. 

IRIS VERS. Painful, green, watery stools, worse at 
night, about 2 or 3 a. m. *Burning in rectum and anus 
after stool, [Aloe. Gum. g.] Periodical diarrhoea. Vomiting 



DIARRHCEA. 107 

sour fluid, with burning in mouth and fauces. Gastric sick- 
headache. Loss of taste and appetite. 

JATRO. CUR. Profuse watery diarrhoea, gushing out like 
a torrent, [Gum. g.] Noise as of a bottle of water being 
emptied in abdomen, [*Aloe.] Vomiting bile or watery 
albuminous substances. 

LEPTANDRIA. Stools black, papescent, tar-like, very fetid. 
After stool, sharp, cutting pains and distress in umbilical 
region. Worse r. M. and evening. After exposure to wet, 
damp weather, [Dulc. Rhus.] 

LYCOPODIUM. Chronic diarrhoea. Stools thin, brown, 
pale, fetid, preceded by chilliness in rectum. A feeling of 
great fullness in stomach after eating but little, [Chin.] 
Pain and tenderness of stomach, relieved by loosening the 
clothing. *Red sand in urine, [Phos.] Weak, dyspeptic 
persons. * Aggravation 4 to 8 p. m. 

MAGNESIA CARB. Sour-smelling diarrhoea of children, 
[see Rheum.] *Stools resembling the scum of a frog- pond, 
or green, slimy and watery. Before stool, cutting, pinching 
pain in abdomen. Sour vomiting, [Nux. Puis.] (Edema of 
leet to the calves. 

MERCXJRIUS. Stools dark green, slimy, frothy or bloody ; 
also stools like stirred eggs, [Nux m.] * Frequent urging 
and tenesmus during and after sto'ol. Cutting, pinching pain 
in abdomen, with chilliness, [Ars. Puis.] Violent thirst for 
cold drinks. Aphthae and increased flow of saliva. Sour- 
smelling night-sweat, particularly about the head, cold on forehead. 
Worse at night and in hot weather. 

NUX MOS. Stools thin, yellow, like stirred eggs. Before 
stool, cutting pain in abdomen. *Loss of appetite and great 
droivsinrss. Colic worse after eating or drinking, [Ars.] 
The tongue is very dry, it sticks to the mouth. Worse at night 
and in cool, damp weather. 

NUX VOM. Frequent small, watery, slimy, browish 9 mucous 
stools. Colic and tenesmus before and during stool, with 
relief after, [Merc] Dysenteric diarrhoea. *Symptoms 
worse early in morning. *Nausea and sour, bitter vomiting. 
After use of quack nostrums. 

PHOSPHORUS. Chronic, painless diarrhoea, worse in 
morning, [Podo.] Stools undigested, xoatery, with little white 
flake* or lumps like sago. Gradual loss of strength. *Pa- 
ralysis of sphincter ani; anus remaining open, [Apis.] 
* Vomiting what has been drunk soon as it becomes warm in 
stomach. Sleepy in daytime, particularly after meals. 

PHOS. ACID. Painless diarrhoea ; stools whitish-watery, or 
yellowish; very offensive. Great rumbling in the bowels. 
Diarrhoea, without apparent debility. * Very indifferent, wants 
nothing, and cares for nothing. Frequent emissions of pale, 
watery urine. Profuse sweats at night. 

PODOPHYLLUM. Painless diarrhoea or colic before and 
during stool. J'rofuse watery stools, with meal-like sediment : 



108 THERAPEUTIC KEY. 

also yellow mucous stools, smelling like carrion. Before stool, 
loud gurgling in bowels as of water, [*Aloe. *Gum. g.] 

* During stool prolapsus ani. Gagging or empty retching, 
[Cro. t.] Cramp in feet, calves, and thighs. *Always worse 
in morning, at night, and in hot weather. 

PULSATILLA. Stools greenish, yellowish, like bile. *Very 
changeable stools, [Sulph.] Before stool, rumbling and 
cutting pain in Rowels. *Diarrhoea, worse at night, from 
eating fruit or ice-cream, [fruit with milk, Podo.] Bitter 
taste after eating. *Craves cool, fresh air, worse in a warm 
room, [better, * Ars. Rhus.] White-coated tongue; loss of taste. 

RHEUM. Stools green, brown, fermented, [Ipe.] *Sour- 
smelling diarrhoea of children, [*Mag. c. Rheum.] Colic 
before and during stool, and tenesmus after, [Merc] *The 
whole body has a sour smell, not removed by washing. Cut- 
ting colic, relieved by bending double, [Colo.] Worse after 
eating. 

RHUS TOX. Stools reddish or yellowish mucus. Cutting 
colic before and during stool, with relief after. Involuntary 
stools at night while sleeping, [Hyos. Puis.] * Aggravation 
at night, particularly after midniglit, and during rest. 

SEGALE COR. Painless diarrhoea. Stools brown, watery, 
or slimy ; discharged rapidly with great force. Great exhaustion 
during and after stool. Vomiting without effort, with great 
weakness. Great anxiety, and burning at pit of stomach. 

* Aversion to heat, or to being covered up. 

SULPHUR. Stools very changeable, yellow, brown, green, 
undigested. * Early morning diarrhoea, without pain, [Rumex. 
— With pain, Aloe.] Before stool, urging and cutting colic. 

* Constant heat on top of head, [coldness, Verat.] Sour or 
bitter vomiting. *Frequent weak, faint spells. Drowsy 
during the day, and wakeful at night. After suppressed 
eruptions, [Bry.] 

SULPHURIC AC. Painless chronic diarrhoea, with debility, 
[see Ph.os.ac] Stools saffron- colored mucus, stringy, green, 
watery. Coldness and relaxed feeling in the stomach. Sour 
eructations. *Sensation of tremor all over without trem- 
bling. Aphthae, [Ars. Merc] 

THUYA. Copious, pale-yellow, watery stools, discharged with 
great force; gurgling like water from a bung-hole, [see *Crot. t.] 
Rapid exhaustion and emaciation. Diarrhoea after vaccination. 
Worse in morning, and after drinking coffee. 

VERAT. ALB. Stools profuse, watery, blackish, greenish, 
Severe pinching colic before and during stool. * After stool, 
great weakness and empty feeling in abdomen, [Sul. ac] *The 
suffering causes cold sweat to stand on forehead. Violent 
vomiting of frothy mucus. *Intense thirst for cold water. 
Excessive weakness, [Ars.] Desire for fruits and acids. 

HYGIENIC MEASURES. Persons subject to diarrhoea 
should observe strict hygienic and dietetic rules. Light 
exercise in open air, suitable clothing, flannel next the skin, 



DIPHTHERIA. 109 

tepid sponge baths, regular habits and mental quietude, the 
best preventives. 

AUXILIARIES. During an attack, patient should assume 
horizontal position and rest mind and body. Remove all 
discharges at once. Provide for free ventilation. Apply 
warm fomentations to bowels if they are tender and painful. 

DIETETICS. Eat sparingly — little and often — the better 
plan. Well-boiled rice, oatmeal gruel, farina, good fresh milk, 
mutton broth, thickened with flour or rice, fresh crackers 
broken into milk or made into gruel, barley water, and in 
some cases beef-tea, will be found the most appropriate diet. 

In chronic cases, a more generous diet should be allowed. 
Milk one of the best articles. Tender beef, mutton, chickens, 
soft boiled eggs, and good ripe fruits may be taken. 



DIPHTHERIA. 

TREATMENT. Leading indications. 

ACONITE. In forming stage, [Bell.] Dry, hot skin and 
very quick pulse. Dark redness of fauces, velum palati, and 
tonsils, [bright redness, *Bell.] Burning, fine piercing sen- 
sation in throat. *Great fear and anxiety of mind, with 
nervous excitability. 

APIS MELLIFICA. Great debility from beginning. The 
membrane assumes at once a dirty-grayish color, [dark 
color, Phyto.] 1 uffiness around the eyes. * Pain in the ears 
when swallowing, [Lach.] *Stinging pains in the atfected 
parts. Itching, stinging eruption on the skin. Crawling, as 
if going to sleep in both arms ; lower limbs feel paralyzed, 
weakness of sight. 

ARSENICUM. Great anguish, extreme restlessness, and 
fear of death. Fetid breath, and viscid, foul discharge from 
the nostrils. *Constant desire for cold drinks, but can take 
but little, [Apis.] * Great and increasing prostration. All 
worse about midnight. 

ARUM TRIPH. Throat raw and sore, as if excoriated. 
Putrid odor from mouth. * Burning, ichorous discharge from 
nose, excoriating nostrils and upper lip, [see *Kali b. Nit. ac] 
Lips sore and swollen, skin peels off; patient very restless 
and fretful. Submaxillary glands swollen. 

BELLADONNA. In forming stage. Great dryness of fauces ; 
tonsil bright red and swollen. *Very restless, feels drowsy, 
yet cannot sleep. *Starts in his sleep, or jumps suddenly 
up in bed. Congestion to head, with throbbing of carotids; 
eyes injected ; delirium. 

BROMINE. The disease commences in larynx and rises 
into the fauces, [see Nit. ac] In some cases it extends into 
the larynx, producing a croupy cough and rattling of mucus. 
*Suffocating cough, with hoarse, whistling, croupy sound, 
[see Kali b.] 



110 THERAPEUTIC KEY. 

CALC. CHLOR. Corroding, watery, nasal discharge. 
Fauces red, sore and covered with membrane. Foul breath. 
Cervical glands swollen, with engorgement of surrounding 
cellular tissue. Paroxysms of suffocation. Great prostra- 
tion, [Prepare fresh. ^ 

CANTHARIDES. Burning and dryness in mouth, extend- 
ing to throat and pharynx. Extreme prostration, sinking, 
death-like turns. *Constant desire to urinate, passing but 
a few drops at a time. 

CAPSICUM. Burning and soreness in mouth and throat. 
Congested appearance of mucous membrane. Fauces par- 
tially covered with diphtheric deposit. Sensation of con- 
striction on swallowing. Heat and throbbing sensation in 
head. Rapid pulse, vertigo, and bleeding at nose. *Chilli- 
ness in back. 

CARBOLIC ACID. Low form of fever ; absence of pain. 
*Great accumulation of deposits, with terrible fetor. Exces- 
sive prostration and thready pulse. 

KALI BICHRO. Fauces inflamed, and more or less 
covered with a dirty yellow deposit, forming pseudo-mem- 
brane. Yellow brown fur on tongue. * Hoarse, croupy 
cough, with expectoration of stringy mucus , the disease 
spreading to larynx. Deep-eating ulcers in fauces. Tough, 
stringy discharge from nose, [see Arum t.] Swelling of 
parotid glands. 

LACHNANTHES. White ulcers on tonsils, very little fever, 
slight prostration ; able to take nourishment, [similar to 
Bell. Lach. Lye] *Very stiff and painful neck, drawn to 
one side. 

LACHESIS. The disease mostly appears on left side first, 
[see Lye] Throat greatly swollen internally and externally. 
Discharge from nose and mouth of a fetid, excoriating fluid, 
[Aru. t.] *Can bear nothing to touch larynx or throat^-it 
is so painful. Fauces covered with diphtheric membrane. 
*Patient worse after sleeping, [Apis.] 

LYCOPODIUM. * Worse or beginning on right side. Brown- 
ish red appearance of fauces. Stitching pains in throat 
when swallowing. Nose stopped up. *Widely dilated nos- 
trils with every inspiration. Awakens from sleep Tery 
cross and irritable. *Red sand in urine. Worse from warm 
and better from cold drinks, [Lach.] 

MERC. CYANTJRET. *Putrid diphtheria, [Ars. Nit. ac] 
The disease comes on suddenly, extends all over mouth, 
fauces, pharynx and larynx. Exudation grayish, leathery 
and putrid. Laryngotracheal whistling, [Kali b.] Parotid 
and submaxillary glands swollen, [Arum t. Merc. io.J Inces- 
sant salivation ; great prostration. 

MERC. IOD. RUB. *Pseudo-membranous deposits on 
tonsils, uvula, velum palati, and pharynx. Tongue coated, 
thick, yellow, dirty. Tonsils much swollen, with great 
difficulty in swallowing. * Breath very offensive. Fzpector- 



DYSENTERY. Ill 

ation of tough, fetid saliva. Hoarse breathing. Swelling of 
parotid and submaxillary glands. 

NITRIC ACID. Spreading ulcers in mouth and throat. 
Putrid-smelling breath. Swelling of submaxillary and 
parotid glands, [Merc, io.] Corroding discharge from 
nose. Dry, barking cough; intermittent pulse. *Strong- 
smelling urine, like that of horses. *Sore throat, extending 
into nose, with profuse, thin, purulent discharge. 

PHYTOLACCA. *Fauces and tonsils highly inflamed, 
and covered with dark-colored pseudo-membrane. Exces- 
sive fetor of breath. Deglutition almost impossible. Great 
prostration. When rising up in bed, gets faint and dizzy, 
[Bry.] * Violent aching in back and limbs. 

For paralysis following diphtheria, Gel. Lach. Nux. Phos. 
Plumb. Rhus. Zinc. 

HYGIENIC PRECAUTIONS. Plnce patient in large 
upper room, that can be well ventilated. Exclude children 
and all others not absolutely needed. Disinfect all sputa, 
discharges and soiled linen, [see article M Sick Room."] 
Change patient's clothing and bed-linen frequently. K<ep 
face and hands clean as possible. Temperature of room 70°, 
and atmosphere moist. Look after drainage about premises. 

LOCAL TREATMENT. Dilute Alcohol, [ 5ji aquae |j] 
used as a gargle or by spray, one of best applications. Liq. 
calcis chlor. [ 3j to 3Jii r»quae] as gargle or spray is highly 
extolled. Carbolic ac. [gtt. v. aq. ferv. ^j] as a gargle 
[when being used internally] will be found valuable. 
Where larynx is involved, and in croupal diphtheria, inhaling 
vapor of Ammonia, or tincture Iodine, is efficacious in some 
cases. Inhaling vapor of slacking lime, or lime-water by 
atomizer, is worthy of trial. Burning a mixture of tar and 
turpentine near the patient's bed, and the vapors inhaled, is 
highly commended ; will soon detach the false membrane, and 
relieve the patient. It is also a good Disinfectant. 

DIETETICS. Cold water to allay thirst, or bits of ice to 
suck is very grateful. If patient has an appetite, indulge it. 
Beef-tea, mutton or chicken broth may be taken liberally. 
Good fresh milk is an excellent article of diet in this disease. 
Ice-cream or water-ice may be taken in moderate quantities 
at short intervals. No alcoholic stimulants whatever should 
be allowed, as they only exhaust the vital forces, and thereby 
lessen the chances of recovery. 



DYSENTERY. 

TREATMENT. Leading indications. 

ACONITE. Usually in beginning and when the days are 
warm and nights cool, [see Colch.] Stools frequent, small, 
bloody, or slimy. During stool cutting pains and tenesmus. 



112 THERAPEUTIC KEY. 

* Vertigo on rising up. General dry heat and great restless- 
ness. *Fear of death, is afraid he will die. 

ALOES. Stools bloody, jelly-like mucus, [white, jelly-like, 
*Hell.] Before stool, a sense of fullness and weight in pelvis, 
and pain around navel. During stool, tenesmus and burning in 
rectum. *Loud gurgling in bowels, like water running out 
of a bottle. Large and prominent hemorrhoids. 

ARNICA. Dysentery caused by mechanical injuries. Stools 
clear mucus or bloody, with tenesmus. Bitter or putrid taste in 
mouth. * Put rid eructations, like bad eggs, [Podo. Sulph.] 
Offensive breath. 

ARSENICUM. Stools dark or blackish fluid, mixed with blood, 
of a putrid, foul smell ; involuntary, [see Carb. v.] During 
stool tenesmus and burning in the rectum. *Great anguish, 
restlessness, and fear of death. *Extreme thirst, drinks 
often, but little. Kapid prostration and sinking of the vital 
forces, [Verat.] Aggravation at night or after eating or 
drinking. 

BAFTISIA. Stools scant, bloody mucus. Before and during 
stool, violent colicky pains in hypogastrium. During stool 
great tenesmus. *Soreness of the flesh and whole body, 
with chilliness. *The sweat, urine and stools are all extremely 
fetid, [Carb. v.] 

BELLADONNA. Stools greenish, slimy, bloody. Great 
tenesmus during and after stool, [Merc] *Clutching pains in 
abdomen, which appear suddenly, and cease as suddenly. 
*Pains relieved by stopping breath and bearing down. 
Abdomen hot and tender to pressure. *Sudden starting, 
and jumping during sleep. Mouth and throat very dry, with 
little or no thirst. 

BROMITJM. *Stools painless, odorless, and like scrapings 
from intestines, [see Canth.] Blind, painful hemorrhoids 
internally, worse during and after stool. 

BRYONIA. The disease was induced by getting over- 
heated, or from taking cold drinks when the system was 
very warm, [Aeon.] Thin, bloody stools, preceded by cutting 
colic. *Sitting up in bed causes nausea and vomiting. *The 
patient wants to keep very still. Aggravation in morning 
and from motion. 

CANTHARIDES. Stools white, or pale-reddish, like scrapings 
from intestines; [see Brom. Colch. Colo.] also bloody stools. 
During and after stools, burning at anus, [Aloe. Ars.] * Fre- 
quent urging to urinate, with slight and painful discharge. 
High fever with burning and dryness of mouth, burning thirst 
or no thirst at all. Anxious restlessness. 

CAPSICUM. Stools bloody mucus, or mucus streaked with 
black blood. * After stool, tenesmus and thirst, with shud- 
dering after drinking. Tenesmus of bladder, [Merc, cor.] 
Distension of abdomen as if it would burst. *Chilliness in 
back. * Taste as of putrid water. 

CARBO VEG. Mostly in advanced stages. Stools of foul 



DYSENTERY. 113 

blood and mucus ; involuntary, smelling terribly. *Great pros- 
tration and cold breath. *The patient wants more air and 
to be fanned, [Bapt ] Heat about the head, and cold perspi- 
ration on extremities. After long-continued or severe acute 



CHAMOMILLA. Stools frequent, small, green, or white 
mucus, smelling like bad eggs. Colic before and during 
stool. *Very impatient, can hardly answer one civilly. 
*Children are very fretful, must be carried. *One cheek 
red and hot, the other pale and cold, [Aeon. Nux ] In first 
stages and during dentition. 

CHINA. Suitable for weakly persons, and others who 
have lost much blood, and for dysentery in marshy districts, 
with intermittent symptoms. Stools chocolate- colored, smelling 
putrid. Before stool colic, relieved by bending double, 
[*Colo.] "Worse at night, and after a meal. Great weak- 
ness and inclination to sweat. * Patient worse every other 
day, [Amb.] 

COLCHICUM. Stools jelly-like mucus, or bloody, mingled 
with a skinny substance, with severe colic and tenesmus. Also 
painless bloody stools, [Ars. Colo. Sulph.] During stool, 
spasms of sphincter ani, with shuddering in back. * Autumnal 
dysentery, when days are warm and nights cool, [Aeon.] 
(Edema of feet. 

COLOCYNTH. Stools bloody mucus, or like scrapings, [see 
Canth.] Before stool, cutting pain and great urging. * Violent 
colicky pains, mostly around navel, causing patient to bend double. 
Relief after every evacuation. Abdomen distended and 
painful to contact. Worse after a meal ; from fruit ; vexation. 

DIOSCOREA. Stools like albumen, but lumpy, with strain- 
ing and burning in rectum, and sensation as iffseces were hot. 
Before and during stool, severe pain in sacral region a;id 
bowels. The pains radiate upwards and downwards, until 
whole body becomes involved with spasms. 

DULCAMARA. Stools green mucus or bloody. If the dis- 
ease was induced by exposure to cold. *Symptoms all 
aggravated by every cold change in the weather. Dry heat 
of the skin, and much thirst. 

HAMAMELIS. *Copious stools of dark blood, amounting 
to an actual hemorrhage. Suitable to persons troubled with 
varices, passive hemorrhages, etc. 

IPECAC. Stools bloody, or bloody mucus, fermented like 
frothy molasses. Great pressing to stool, with griping and 
pinching about navel. *Much nausea and vomiting. Disgust 
and loathing of all kinds of food. No thirst, [Puis.] If 
caused by eating unripe, sour fruit. 

KALI BICHRO. Stools blackish, watery, bloody, or jelly- 
like. During stool, painful urging and tenesmus. Gnawing 
pain about navel. *Tongue dry, smooth, red, and cracked. 
Much thirst, desire for acids. 

MAG. CARB. Stools bloody mucus, or green, frothy, like scum 



114 THERAPEUTIC KEY. 

on frog-pond. Before stool, cutting and pinching in abdomen. 
During and after stool tenesmus, [Merc] Tongue coated 
dirty-yellow. Sour vomiting. In children during dentition. 

MERC. COR. Stools pure blood, or bloody mucus ; green 
bilious, followed by slime tinged with blood. During stool, 
painful pressing, straining and tenesmus. Severe pains in the 
rectum, continuing after the discharge. Almost constant 
cutting pain in abdomen, mostly around umbilicus, * Great 
tenesmus of bladder, with scanty urine. 

MERC. SOL. Stools bloody mucus, or green, slimy, excoriating. 
Before stool violent and frequent urging. During and after 
stool, violent tenesmus. * Wants to remain a long time at 
chamber. Pinching and cutting colic, with chilliness, [*Bell. 
*Puls.] Prolapsus ani, [*Podo.] Profuse night sweats, 
particularly on head. All symptoms Worse at night, and in 
damp, rainy weather. 

NITRIC ACID. Stools profuse, bloody. Before stool, 
drawing, colicky pain, During stool, tenesmus and spasmodic 
contraction of anus, [anus remains open, Phos.] Long- 
lasting pains after stool, very exhausting. *Spreading ulcers 
in mouth, with fetid breath. 

NUX VOMICA. Stools thin, bloody mucus, sometimes 
mingled with lumps of fsecal matter, [Erig.] Before Mool, 
constant urging ; backache. During stool, violent tenesmus, 
and cutting pain in hypogastrium, with desire to vomit. After 
stool, relief. *Personsof intemperate habits, or the victims 
of drugs. Symptoms worse in morning. *Patient very irri- 
table, and wants to be alone. 

PHOSPHORUS. Stools green, slimy or bloody. Painless 
dysentery, [Hepar.] *The anus remains open, as if para- 
lyzed, [Apis.] Symptoms worse in morning, and from lying on 
left side. * Thirst for very cold drinks, which are ejected 
soon as they get warm in stomach. 

PODOPHYLLUM. Stools bloody and green mucus, or jelly- 
like mucus, with little or no pain, [see Colch.] Prolapsus ani 
with stool. Children toss their heads from side to side. *Gag- 
ging or empty retching. Loud rumbling in bowels. 

PULSATILLA. Stools blood-streaked mucus. Before stool, 
rumbling and cutting colic. During stool, chilliness and 
pain in the back, [see Merc] Thick, yellow coat on the 
tongue, bitter taste. *Thirstlessness. * Worse towards 
evening and at night. 

RHUS TOX. Stools reddish mucus or jelly-like. Before 
and during stool, cutting colic. *Pain which runs in streaks 
down the limbs with every evacuation. Remission of the 
pains after stool, and from moving about. After getting wet, 
[after taking cold, Dulc] 

SULPHUE. Stools green mucus or blood- streaked mucus ; 
changeable, [Puis.] Before stool, cutting colic. After stool 
tenesmus. Painful sensitiveness of abdomen, as if the internal 
parts were raw and sore. *Weak, faint spells. After sup- 



DYSMENORRHEA. 115 

pressed cutaneous eruptions, [Bry.] *Lean persons, who 
Walk stooping, or who suffer from piles. 

AUXILIARY MEASURES. Place patient in bed and enjoin 
quietude ; have him use bed-pan to avoid getting up. Pro- 
vide for free ventilation. Receive all discharges in porcelain 
vessel and disinfect them. See article Sick Boom. Change 
clothing and bed linen daily. Small injections of clear 
starch, gum-water or white of egg beaten up in water, very 
beneficial. For the distressing tenesmus which occurs in 
some cases, a few drops of Laudanum, [3 to 10 drops, ac- 
cording to age of patient] added to the clyster, will afford 
prompt relief. Injections of hot water also beneficial. Hot 
■fomentations to abdomen relieve pain and tenderness. Also 
warm sitz-baths, in which patient may remain five or ten 
minutes. 

DIETETICS. Cold fresh water frequently excites pain 
and tenesmus, and should be taken in small quantities; it 
should be boiled before drinking. Rice-water, barley-water 
and gum-water most suitable beverages. The white of an 
egg beaten up in a pint of water and sweetened, is useful. 
All solid or irritating articles of food should be avoided. 
Well-cooked milk and flour, or gruel of farina, oatmeal or 
rice flour are allowable. Mutton broth thickened with rice 
boiled to a pulp, may be taken in some cases where patient 
desires it. Sweet ripe peaches, plums, grapes, blackberries, 
and whortleberries, freed of their seeds and hulls, the only 
fruits considered safe. 



DYSMENORRHEA. 

TREATMENT. Leading indications. 

AMM. CARB. Menses premature and abundant, pre- 
ceded by griping colic and loss of appetite. Discharge 
blackish, in clots, passing off with pains in the abdomen. 
Paleness of the. face, sadness, and toothache. 

APIS MEL. Discharge of scanty, slimy blood. ♦Sup- 
pressed menses, with congested or inflamed ovaries. Feeling 
of weight and heaviness in ovarian region. * Inflammation 
of right ovary, [Bell.— of the left, Lach ] 

BELLADONNA. The pains precede the flow, with con- 
gestion to head and contusion of sight. Frightful visions 
and screaming. *Disposition to bite and tear things. Red- 
ness and bloat edness of face. * Strong bearing down,, as if 
everything would escape through vulva, [Plat. *Sep.] 
*Pains come on suddenly and cease as suddenly. Discharge 
copious, and of a bright-red Color. 

CACTUS. Menses scanty and cease to flow when lying 
down. *Terrible pains, causing her to cry aloud and weep, 
[see Puis.] Pains come on periodically, mostly in evening. 



316 THERAPEUTIC KEY. 

*A feeling as if the heart was constricted. Palpitation 
Worse when lying on left side. 

CALC. CARB. Preceding the flow, swelling and tender- 
ness of breasts, headache, colic, shiverings, and leucorrhcea. 
During the flow, cutting pain in abdomen, toothache, bear- 
ing down in genitals. *Feet cold and damp. Scrofulous 
diathesis. 

CAULOPHYLLTJM, *Spasmodie bearing-down pains, 
with scanty flow. Sympathetic cramps and spasms of adja- 
cent organs, as bladder, rectum, bowels. * Membranous 
dysmenorrhcea, [Cimi. Collin.] After suppressed menses, 
[*Puls.] 

CHAMOMILLA. Pressure in uterus, resembling labor- 
'pains. Discharge dark-colored, coagulated, with tearing 
pains in thighs, [Cimi.] Frequent desire to pass urine. 
Bloated red face, or one cheek red, the other pale. Hot per- 
spiration about head. *Very impatient and snappish. 

CIMICIFUGA. Scanty or profuse flow of coagulated 
blood. *Severe pains in back, down thighs, and through 
the hips of a neuralgic charater. Labor-like pains, with 
pressing down, [see Cham.] Hysteric spasms, cramps, 
tenderness of hypogastric region. Low-spirited and very 
sensitive. 

CONITJM. Discharge scanty and brown in appearance. 
Previous to menses, breasts swell, become hard and painful, 
[Calc. c] Pressing downwards in abdomen and drawing in 
legs. * Difficulty in voiding urine, it stops and starts 
repeatedly. *Aching pains about the heart, and vertigo 
when lying down or turning over in bed. 

GELSEMITJM. Dysmenorrhea preceded by sick headache, 
vomiting, red face, bearing down in abdomen and pain in 
back and limbs. Sensation as if uterus were squeezed by a 
hand. *Loss of voice during the menses. 

LILITJM TIG. Burning, stinging, cutting, grasping in 
left ovary. *Pain extends across hypogastrium to groin, 
down leg. Menses dark, thick, smelling like lochia. Severe 
neuralgic pains in uterus, cannot bear slightest pressure 
or jar. 

NITRIC ACID. Menses early, irregular, scanty, and like 
muddy water. Cramp-like pains in abdomen, as if it would 
burst, with eructations. *Violent pressing down in genitals, 
as if everything would protrude, [see Bell.] *Very offensive 
urine. 

NUX VOM. Menses return too soon, discharge thick and 
clotted. Writhing pains, with nausea, or pains in back and 
loins. *Sor'eness across pubis as if bruised. Frequent 
desire to pass urine. Constipation, with frequent urging, 
hard, difficult stools. After use of drugs and nostrums. 

PHOSPHORUS. Menses too early and scant. Very sleepy 
during flow. Stitches in mammae, sour eructations, and 
Vomiting sour substances. Great fermentation in abdomen. 



DYSPEPSIA.— GASTRIC CATARRH. 117 

Cutting in hypogastric region, chilliness, cold hands and feet. 
* Sensation of weakness and emptiness in abdomen. *Long, 
narrow, difficult stools. 

PHYTOLACCA. * Painful menstruation, especially in bar- 
ren women, [Phos.] Mammae hard and painful. 

PLATINA. Menses dark and clotted,, preceded by spasms, 
much bearing down, desire for stool, backache. *During the 
flow, pinching in abdomen, excruciating pains in uterus, 
twitchings, with screams. 

PULSATILLA. Delayed menses, blood thick and black, 
flowing by fits and starts, with chilliness. Feeling of heaviness, 
as if from a stone in pelvic cavity. *Pains so violent she 
tosses about in all directions, with cries and tears, [Cimi.] 
Drawing sensation and numbness, extending down the thighs. 
*Vertigo on rising up, with chilliness. *Mild, tearful women. 
Worse in a ivarm room. 

SEPIA. Menses too early and scant. Colicky pains and 
great bearing down, obliging her to cross the limbs, [see *Bell.] 
Before menses, leucorrhcea, excoriating the parts. *Painfui 
sensation of emptiness in stomach. She weeps and complains, 
[Ign. *Puls.] Hard, knotty, difficult stools, with a sensation 
of weight in the anus. 

SULPHUR. Discharge thick, black, and acrid. Violent 
pinching in abdomen, with heat, chilliness, and sort of 
epilepsy. *Constant heat in top of head, [coldness, *Verat] 
♦Frequent flashes of heat and weak, faint spells. Chronic 
eruptions. Lean persons who walk stooping. 

VIBUE. OPU. *Spasniodic dysmenorrhea. Cramps in 
abdomen and legs. Excruciating colicky pains in womb and 
lower part of abdomen, coming on suddenly, just preceding 
the menstrual flow, often lasting for hours. Cimi. and Caul, 
are closely allied to this remedy. 

LOCAL TREATMENT- Warm sitz-baths, in which the 
patient may remain for fifteen or twenty minutes; warm 
fomentations applied to the h}pogastric region, and hot bricks 
to the feet will be found of infinite value in this painful 
affection. Taking copious draughts of water hot as can be 
borne, will also be found very beneficial. 



DYSPEPSIA.-GASTRIC CATARRH. 

TREATMENT. Leading in dications. 

AMM. MUR. Bitter eructations or tasting of food, [Nux. 
Puis.] Regurgitation of food or of bitter, sour water, [Phos. 
— sweetwater, Plumb.] *Gnawingin stomach as from worms, 
[see Puis. — gnawing in stomach when empty, relieved by eating, 
Lith. carb.] Pain in stomach, immediately after eating. *Hard 
crumbling stools, difficult to expel. 

ANACARDIUM. * Symptoms disappear while eating, and 
return soon after, [better after eating, Hepar.] Pain as if 



118 THERAPEUTIC KEY. 

a blunt plug were pressed into the intestines. *Constant 
desire to eat, which gives temporary ease. 

ANTIMONITJM. The disease was caused by overloading 
stomach. Tongue coated white. *Eructations tasting of 
ingest a, [Chin. *Puls.] Stomach weak, very easily disordered. 
Watery stools, mingled with hard lumps. 

ARNICA. * After mechanical injuries, [Bry. Rhus.] Sore, 
bruised feeling in stomach. *Eructations, tasting like bad 
eggs, [Sep. Sulph.] Sense of fullness in pit of stomach. 
Tongue coated yellow. After meals, inclination to vomit. 
Bitter or putrid taste. 

ARSENICUM. Derangement of stomach from ice-cream, 
fruit, and acid things. *Nausea and vomiting after eating 
or drinking. Heat or burning in stomach, [Nux. *Phos.] 
*Intense thirst, drinking often, but little at a time. Anxious 
restlessness. * Pressure as of a stone in the stomach, [Bry. 
*Nux.] Exhausting diarrhoea. 

BO VISTA. Pressure and fullness in pit of stomach. *Sen- 
sation of a lump of ice in stomach, [coldness, Ars. Phos.] 
Tension in the temples; mental anxiety. 

BRYONIA. Dyspepsia in hot weather, or from drinking 
cold water when overheated. Loathing of food, even smell 
of it is intolerable. *Soreness of the stomach. Frequent 
eructations, especially after a meal. * Every thing tastes bitter, 
[Puis.; tastes sour, Chin. Nux.] Food is thrown up imme- 
diately after eating. Splitting headache. * Constipation, 
stools dry and hard. *Is very irritable. 

CALC. CAEB. Pressure as of a weight in stomach. *Can- 
not bear anything tight around waist, [*Nux. *Lyc] Sour 
taste. Vomiting food, which tastes sour. Aversion to meat 
and warm food, with desire for dainties. Dull, stupefying 
headache. *Cold, damp feet. Profuse menstruation. Cannot 
sleep after 3a. m., [*Nux.] Stools large, hard, and some- 
times only partially digested. 

CARBO VEG. Frequent eructations, affording temporary 
relief. The most innocent food disagrees. *Sensation as if 
stomach and abdomen would burst when eating or drinking, 
[see Chin.] Sour, rancid belchings, and burning in stomach. 
*Excessive flatulence, with tendency to diarrhoea. After 
debauching, [Nux.] 

CHAMOMILLA. *Painful bloatedness of epigastrium in 
morning, with a sensation as if the contents were rising to 
chest. * Aching pain in stomach and under short ribs. 
Bitter taste, with bilious vomiting. *Very impatient and 
cross. 

CHELIDONITTM. Aching, gnawing pain in stomach, ag- 
gravated by pressure, but relieved by eating, [see Puis.] 
*Prefers hot drinks and hot food, [Ars.] Very irregular 
palpitation of the heart. Stools like sheep's dung, [Ruta.] 

CHINA. * Abdomen feels full and tight, as if stuffed, 
eructations without relief, [see Arg. n.] * Aversion to every 



DYSPEPSIA.— GASTRIC CATARRH. 119 

kind of nourishment. Craves wine or sour things. Eructa- 
tions tasting of the food, [Ant. *Puls.] Debility, with 
desire to lie down after every meal. After loss of blood, or 
exhausting illness. Indisposed to work. 

GELSEMIXTM. Feeling of emptiness and weakness in 
stomach and bowels. Burning in stomach, extending up to 
mouth. ^Symptoms all worse from sudden emotions, fright, 
grief, or bad news. *False hunger — a kind of gnawing in 
stomach, ("Ars. Nux.] 

HEPAR S. The stomach is easily disordered, despite the 
utmost care, [Carb. v.] Craving for acids, [Bry. Chin. Nux.] 
Nausea and eructations, without taste or smell. Putrid or 
metallic taste. * Accumulation of mucus in throat. Hard, 
difficult stools. Risings in oesophagus, as if he had been 
eating sour things. 

HYDRASTIS. *Dull, aching pain in stomach, which causes 
a very weak, faint feeling. Burning pain in umbilical 
region. Eructations of sour fluid, [setting teeth on edge, 
*Robin. *Sul. ac] *A feeling of goneness in region of 
stomach, with violent palpitation of heart. Stools lumpy, 
covered with mucus. 

IGNATIA. *Dyspcpsia, with great nervous prostration, 
caused by mental depression. *Full of grief, with a weak, 
empty feeling in stomach, [see Hydras.] Painful bloating 
of stomach after every meal, [Chin. Lye] Gnawing, cutting 
pain in stomach. Hemorrhoids, the tumor's prolapse with 
every stool. 

LYCOPODIUM. Feeling of great fullness and heaviness in 
stomach after a meal. *After taking a mere swallow of 
food, feels full up to throat, [see Chin.] *Constant sense of 
fermentation in abdomen, like yeast working, [Carb. v. Phos.] 
Much rumbling, particularly in left hypochondria. Distressing 
pain in back before urinating. *Red sand in the urine. 
Constipation, stools hard, scant, and passed with great diffi- 
culty. 

MERCTIRITJS. *Very sensitive about pit of stomach and 
abdomen, [Bry. Nux.] When sitting, the food feels like a 
stone in stomach. Pressure in epigastrium, eructations and 
heartburn after a meal. Aversion to solid food, meat, warm 
food, with desire for refreshing things. Much salivation, 
with saltish, metallic taste. 

NTTX VOMICA. Putrid or bitter taste early in morning, 
[*Puls.] * Frequent sour eructations, [see Hydras.] * Re- 
gion of Stomach very sensitive to pressure. Cramp-like 
pains in stomach, with pressure, particularly after a meal. 
*Waterbrash, especially of drunkards, [see Puis.] *Very 
irritable, and wishes to be alone. Stools large, hard, and 
passed with difficulty. After rich or highly-seasoned food, 
drastic medicine, or debauching. Worse after eating. 

PHOSPHORUS. Regurgitation of food, without nausea, 
comes up in mouthfuls. *Food comes up soon as swal- 



120 THERAPEUTIC KEY. 

lowed. *Water is thrown up soon as it becomes warm in 
stomach. *Long, narrow, hard stools. 

PULSATILLA. Tongue coated white, or yellow, with bad 
taste in morning. *Eructations after a meal, tasting of food 
last eaten, [Chin. Nux. Sulph.] Waterbrash. Gnawing dis- 
tress in stomach when it is empty, [Lith. car.] Heating in 
region of stomach, [Sep.] All kinds of fatty food, pork, 
pastry, ice cream, etc., disagree, [*Ipe.] * Vertigo when 
stooping or rising from a sitting posture. Chilliness and 
flashes of boat. Nightly diarrhoea. 

RQBXNIA. Great acidity of the stomach; soon after eat- 
ing, food turns sour. Constant sense of weight in stomach, 
[see Ars.] * Intensely sour fluid rises from stomach, setting 
teeth on edge, [*Sulph. ac] Burning pain in stomach and 
between the shoulders. Constant frontal headache. Desire 
for stool, but only flatus is passed. 

BUTA GRAV. *Dyspepsia from lifting heavy weights. 
Burning or gnawing in stomach, [see Puis.] Cannot eat 
meat, it causes eructations and itching of the skin. * Fre- 
quent urging to stool, with protrusion of rectum, [Ign. 
Nux.] Hard, scanty stool, almost like sheep's dung. 

SEPIA. Pulsations in stomach during a meal. *Great 
weakness of digestion. Sour or bitter eructations. *Dys- 
pepsia with amenorrhoea, [Puis.] Pressure on stomach as 
of a stone. *Yellowness of face, with a streak across the 
nose resembling a saddle. *Hard, knotty, difficult stools, 
with a sense of weight in anus. 

SILICEA. Bitter taste in the morning. Nausea, espe- 
cially in morning or after a meal. *Water tastes badly; 
vomits after drinking. Pains in stomach, with waterbrash. 
Aversion to warm cooked food, desires cold things, [reverse, 
Ars.] No appetite, but great thirst. *Constipation, the 
stool recedes after having been partly expelled. 

STAPHISAGRIA. Sensation as if the stomach were hanging 
down relaxed, [Ipe. — as if balanced up and down, Phos. ac] 
*Extreme hunger, even when the stomach is full of food. 
Craves wine, brandy, tobacco. 

SULPHUR. Sour eructations and much troublesome 
acidity in stomach. Region of stomach sensitive to contact. 
Feels very faint and weak about 11 a. m. ; must have something 
to eat. Regurgitation of food and drink, [see Puis.] * Fre- 
quent weak, faiut spells. *Burning heat on top of head. 
*Early morning diarrhoea. 

SULPHURIC AC. Great debility. Constriction of the 
throat. *Sour risings which set teeth on edge, [*Robinia ] 
Cold, relaxed feeling in the stomach. 

For aching or burning pains in the stomach, with great disten- 
sion : Am. Ars. Bell. Phos. 

Sour stomach, with sour belching and taste ; heart-burn ; gulp- 
ing up and vomiting sour matter: *Calc. c. Carb. v. Chin. Kali 
c. *Nux v. Phos. Sulph. 



DYSPEPSIA. — GASTRIC CATARRH. 121 

Sour stomach always after eating : Bry. *Calc. c. Chin. Kali 
C. *Nux m. *Nux v. Phos. Puis. Sep. Sulph. 

Rancid belching : Carb. v. Mag. m. Puis. Sulph.. 

Foul belching : Arn. Ars. Chin. Ferr. Merc. Phos. Sep. 

Bitter taste, bitter belching, bitter vomiting: Ars. *Bry. 
Cham. *Nux. *Puls. Verat. 

Total loss of appetite: Ars. Chin. Nat. m. Nux. Sep. 

Ravenous hunger: Calc. c. Chin. Nat. m. Nux. Phos. 

Regurgitation of undigested food : * Am. m. Bry. Con. Nux 
v. *Puls. Sulph. 

Waterbrash: Ars. Calc. Natr. m. *Nux v. *Phos. Sep. 
Sulph. 

CLINICAL REMARKS. Frominent among the causes of 
dyspepsia are', mental anxiety; irregular habits; overeating ; 
the use of tobacco, alcoholic drinks and drug medication. Toe 
first prerequisite in the treatment of the disease, therefore, 
is removal of the primary cause, to accomplish which, will 
often be found a difficult matter. Kindly advice should enter 
largely into the treatment, and the patient encouraged in all 
laudable efforts to better his own condition. He should 
maintain a cheerful state of mind, and not brood over his 
sufferings. He should observe regular habits; avoid all 
excesses ; take moderate out-doors exercise ; bathe regularly, 
use the flesh-brush vigorously, and sleep in a cool room with 
an abundance of fresh air. 

AUXILIARY MEASURES. In cases where there seems to 
be a deficiency of gastric juice, and the stomach is unable to 
digest the simplest food, pure Pepsin, [3 to 5 grains] taken 
half an hour before each meal, will have a salutary effect. 
If the bowels more especially are the seat of disorder, 
Pancreatin will be found the most appropriate remedy. 
" Dyspepsia due to sedentary habits and intense thought, a 
teaspoonful of Wine of Coca after each meal will act like 
magic."— Dr. Winslow. 

DIETETICS. The diet is of paramount importance. 
It should be nutritious, easily digested, and taken in moder- 
ate quantities. Food known to disagree should not be taken, 
and the habit of drinking at meal-time avoided, but in the 
mornings and on retiring at night, a glass of cold water may 
be drank.. All vinous or fermented liquors should be dis- 
carded. 

Foods must be tested ; what agrees with one will not always 
agree with others. A milk diet with oat-meal porridge, 
cracked wheat, and corn-meal mush suit some, while others 
cannot digest milk. Buttermilk is excellent in most cases of 
indigestion. Of meats, mutton, beef, chicken, game and" 
fresh eggs the most suitable ; while pork, veal, canned or 
salt meats should be avoided. Of vegetables, baked potatoes 
mashed, with cream, fresh tomatoes well cooked, beans and 
peas, will be found to give the most desirable results. Of 
6 



122 THERAPEUTIC KEY. 

fruits, peaches, grapes, blackberries, strawberries, prunes, 
oranges and sweet apples, thoroughly ripe, are seldom 
harmful. 

Food .should be taken at regular intervals, eaten slowly 
and thoroughly masticated. The patient should engage in 
some useful employment or pleasurable amusement that 
will divert his attention and remove the mental causes that 
produced or tends to perpetuate the affection. 



ECZEMA. 

( Vesicular Eruptions.) 

TH E R A P E UT I CS. Leading indications. 

ANACARDIUM. *Eruption of little blisters, itching ex- 
cessively ; cannot sleep on account of the itching. Great 
weakness and loss of memory. Nervous females and old 
people. 

ANTIMO. CRTJD. The vesicles are surrounded by a red 
areola, with itching. Eruptions about the nose and eyes, 
neck and shoulder and back of ears. *Sore, cracked or 
crusty nostrils. Thick milky- white coating on tongue, [*Bry. 
Nux.] * Alternate diarrhoea and constipation. 

ARSENICUM. * Dry, scaly eruptions, with nightly burning 
or terrible itching. Eruption on face or extremities, with 
corrosive discharge, [*Merc. Rhus.] *Very restless at night. 
Water disagrees. Better in a warm room and from warm 
applications, [Sil.] 

BARYTA CARB. *Scrofulous children with swollen lymph- 
atics, [*Cal. Merc. *Sulph.] Eruption moist, itching, burn- 
ing, and pricking. *Enlargement of tonsils, with chronic 
sore throat. Falling off of the hair, [Rhus. Staph.] Eyes 
inflamed; takes cold easily. 

BELLADONNA. Diffused redness of the shin, burning, 
itching and sensitive to touch. Eruptions during dentition. 
Sanguine plethoric temperament. 

BOVISTA. *Moist vesicular eruption, with formation of 
thick crusts, [Lye. *Rhus.] Eruption appears in warm 
weather and during full moon, [see Clem.^ Flabby skin ; 
fetid sweat. 

CALC. CARB. * Scrofulous diathesis, [see Bary.] Erup- 
tion moist or dry, with thick crusts, burning and itching. 
* Unhealthy, ulcerative skin, [Graph. *Hepar. Sulph.J 
Chronic form of the disease, [Ars. Sulph.] *Cold feet, as if 
he had on damp stockings. 

CANTHARIS. Watery vesicles on an inflamed base, w r ifh 
more burning than itching, Complicated with urinary difficul- 
ties. Perspiration smells like urine. 

CLEMATIS. Moist eczema, itching terribly, [see Rhus ] 
The vesicles break and tend to ulceration. Eruption on 



ECZEMA. 123 

neck and occiput, [Petro.] *The eruption looks inflamed 
during the increasing and dry during the decreasing moon. 
Worse from washing in cold water. 

CROTON TIG. *Scarlet redness of the skin, wi^h rash- 
like vesicles. Itching follow <edby painful burning. Irritation 
and swelling of submaxillary glands. 

DULCAMARA. Eruption of itching vesicles, ceasing to 
itch after scratching. The vesicles exude a watery fluid 
and become covered with a crust. *Scrofulous subjects with 
glandular enlargements. *Symptoms all worse by a cold 
change in the weather. 

GRAPHITES. Eczema, with profuse serous exudations, in 
blondes inclined to obesity. *The eruption oozes a glutinous 
sticky fluid, [comp., Nat. m.] *Rawness in bend of limbs, 
neck, and behind the ears. Very dry skin, never perspires, 
[Kali c] Great liability to take cold. 

HEPAR S. Eczema, spreading by means of new pimples 
appearing just beyond the old parts. Moist eruption, burning 
and itching after scratching; sore to touch. *Unhealthy 
skin, every little injury suppurates 

KALI CARB. Eruption dry at first, but when scratched 
exudes a moisture. Dry skin, [Graph.] Aged persons. 

LYCOPO. Thick crusts, with fetid secretion underneath, 
[see Rhus.] Eruption moist, suppurating, itching violently, 
and bleeding easily after scratching. 

NATRTJM MUR. Eruption in bend of joints, behind the 
ears, on back of head, neck, and in border of hair, [see 
Graph.] *Moist eruption, with gluey discharge, [*Graph.] 
Great rawness and soreness of skin. 

PETROLEUM. Moist eruptions, with great itching and 
much oozing after scratching. Obstinate, dry eruption on 
genitals and perinjeum ; chronic form, worse on occiput. 
Unhealthy skin, every little injury ulcerates. 

RANUNC. BUL. * Vascular eruption on face in clusters. 
The parts smart as if scalded. 

RHUS TOX. *Surface raw, excoriated, thick crusts, 
ooziug and offensive. Incessant itching, burning, and tin- 
gling of the parts; after scratching, burning. Better from 
moving the affected parts and from warmth in general. Worse 
in wet or damp weather. 

SEPIA. *Itching pimples in the bends of joints, with sore- 
ness, [see Graph.] -Itching often changes to burning when 
scratching, [see Rhus.] Scurfy, humid herpes, with itching 
and burning. Suitable to pregnant and nursing females. 

STAPHISAGRIA. Offensive humid vesicles, especially on 
head and ears of children. Scalp very sensitive. Scratch- 
ing sometimes changes the locality of the itching. Skin 
peels off, and hair falls out, [«ee Baryt.] 

SULPHUR. Scr fulous subjects. *Dry, scaly, unhealthy 
skin. Eruption on herd and behind ears, dry, offensive, 
scabby, with cracks, easily bleeding. *Voluptuous itching, 



124 THERAPEUTIC KEY. 

with soreness after scratching. After suppressed eruptions, 
or the drying up of old sores. 

THUYA. Dry, scaly eruptions on head, temples, eye- 
brows, ears, and neck, with itching, tingling, biting. *Skin 
sensitive to touch, burning after scratching, [see Rhus.] 
Dryness of skin, sweat only on uncovered parts. Bad effects 
of vaccination. 

VIOLA TKICO. Eczema, especially on face of infants. 
*Eruption, the character of humid tetter, discharging a 
viscid pus. The crusts are of a brownish-yellow color, and 
the eruption itches violently, scratching gives temporary 
relief. 

LOCAL MEASURES. The intense itching may be 
relieved by mixing live drops Croton Oil with one ounce of 
Glycerine, and rubbing it into the parts two or three times a 
day. The Tr. Rhus tox. and Glycerine may be used in same way, 
especially when this remedy is being administered internally 
at same time. A solution of Bicarbonate of Soda, [half an 
ounce to four ounces of water] applied to the parts is also 
efficient in allaying the itching. 

In Chronic cases, bathe parts well with warm water and 
mild soap, and when dry anoint with Cosmoline. 

Persons suffering from eczema should refrain from all rich 
or highly seasoned food, and discard all spirituous and 
malt liquors. 



ENTERITIS. 

[Inflammation of the Bowels.) 

THERAPEUTICS. Leading indications. 

ACONITE. In early stage, presenting a high inflammatory 
fever, dry, hot skin, and full, frequent pulse. Mouth and 
tongue dry, with intense thirst. Abdomen swollen and tender 
to touchy [Bell. Bry.] *Cutting, burning, tearing pains in 
umbilical region, aggravated by least pressure. *Great 
fear and anxiety of mind, with nervous excitability. 

ANTIMO. CBTJD. Enteritis from disordered stomach. 
*Milky-white tongue, [Am. *Bry. Nux.] Vomiting, followed 
by great languor, drowsiness, loathing, and desire for cool- 
ing things. ^Violent cutting pain, as if the bowels would 
be cut to pieces, with watery diarrhoea. 

ARNICA. After mechanical injuries. Futrid taste, with 
putrid smell from mouth. Pains come iu paroxysms and 
obstruct respiration. *Sore, aching pains as if from a bruise. 
♦Everything on which he lies feels too hard, [Bapt.] In- 
voluntary urination. 

ARSENICUM. After chilling the stomach by taking cold 
things. *Burning in abdomen, with cutting pains, worse 
after eating or drinking. * Great prostration, restlessness, and 



ENTERITIS. 125 

intense thirst. Vomiting immediately after eating or drinking, 
[Bry.] Usually in last stage. 

BELLADONNA. Great heat and tenderness of abdomen, 
cant bear least Jar of bed. * Violent contractive or clutching 
pains in bowels. *Pains which appear suddenly, and cease 
as suddenly. Congestion to the head, with throbbing car- 
otids, [Aeon.] *Face flushed, eyes red and sparkling. 
*Great intolerance to noise and light. Starting and jumping 
during sleep. Sleepiness, but cannot sleep, [Opi.] Almost 
constant moaning. 

BEYONIA. Enteritis, with hard swelling around umbili- 
cus. *Stitching or cutting in bowels, worse from least 
motion, [see Bell.] *Lies perfectly still, don't want, to 
move. *Cannot sit up on account of nausea and fnintness. 
Lips parched, dry, and cracked. Great thirst for large draughts 
of water. Vomiting immediately after eating or drinking, 
[*Ars.] Very irritable, everything makes him angry. De- 
lirium, thinks he is not at home. 

CANTHARIS. Heat and burning in abdomen, which is 
very sensitive to pressure. Cutting, burning pains through the 
bowels, [Aeon. Ars.] *Violent, burning thirst, with aversion 
to all drinks. *Tenesmus of bladder, witli ineffectual efforts 
to urinate. Stools pale-reddish mucus, like scrapings from 
intestines. Anxious restlessness. 

HYOSCYAMUS. Enteritis, with typhoid symptoms. *Stupor, 
with incoherent speech. Toigue brown, dry and cracked, 
[Rhus.] Unconsciousness, wiih involuntary stools, and emissions 
of urine, [Rhus.] * Desire to uncover and remain naked. 
Abdomen distended, with pain when touched. 

IPECAC. *Cutting, pinclnng, around the umbilicus, as if 
grasped with a hand ; wor«e from mot ion. * Constant and con- 
tinual nausea, [Tart. e. *Verat.] Diarrhoea, stools green, 
fermented, or like frothy molasses. 

MERCTJRITJS. Abdomen swollen, hard and painful to 
contact. Cutting, stabbing pains in bowels, accompanied by 
chilliness, [Ars.] *Green or bloody mucous stools, wit a 
violent tenesmus. *Profuse perspiration affording no relief. 
Pale, wretched complexion. Foul smell from mouth ; vomit- 
ing bitter mucus. Restless sleep, with moaniny. 

VERAT. ALB. Burning in abdomen as from hot coals, 
[Ars.] Abdomen distended, very sensitive. *Vomiting, with 
continuous nausea and great prostration. Vomiting thin, 
blackish or yellowish substances. *Cold sweat, particularly 
on forehead. Sudden sinking of strength, with almost imper- 
ceptible pulse. 

AUXILIARY MEASURES. The patient should occupy a 
well ventilated room, with a uniform temperature of 65°. The 
bed should be a soft mattress, with light coverings, and the 
patient kept quiet as possible. Hot fomentations applied to 
the tender, painful abdomen, will have a happy effect. They 



126 THERAPEUTIC KEY. 

should be large enough to embrace the greater part of the 
abdomen, covered with oiled silk or dry flannel, and fre- 
quently changed. Linseed poultices, applied hot, valuable in 
some cases. 

DIETETICS. For the intense thirst, small draughts of 
freshwater may be taken at short intervals. Bits of ice 
swallowed, will often arrest the vomiting. In first stage of 
disease, little or no food should be taken except thin gruel, 
barley-water or mucilaginous drinks. As convalescence 
advances, mutton or beef-broth, beef-tea, arrowroot, tapioca 
and other farinaceous articles may be taken. But until all 
traces of inflammation have subsided no solid food should 
be allowed. 



ENURESIS. 

{Incontinence of Urine.) 

THERAPEUTICS. Leading indications, 

BELLADONNA. Women or children with blue eyes, 
light hair, fine complexion. Starting, restlees sleep. in- 
voluntary urination, consequent upon paralysis of sphincter 
muscles. 

CAUSTICXJM. Involuntary passage of urine when cough- 
ing or sneezing, [Puis ] * Wetting bed in first sleep, [Sep.] 
Children with delicate skin. 

CINA. Involuntary urination, especially at night. 
*Suitable to children troubled with worms in the intestines. 
Restless sleep at night. 

CONIUM. Frequent micturition at night, the urine can- 
not be retained. Wetting bed at night. Especially suitable 
to old men. * During micturition, flow intermits. 

NUX VOMICA. Where the weakness has been caused by 
use of intoxicating drinks, and intemperate habits. *Paral- 
ysis of bladder, urine dribbles. 

FHOS. ACID. If self-pollution or solitary vice has been 
the cause of weakness. Involuntary urination. Great in- 
difference to the affairs of life. 

PULSATILLA. Urine discharged by drops when sitting 
or walking. *Involuntary urination when coughing and 
during sleep, [Rhus t.] Mild, tearful disposition. 

RHUS TOX. Involuntary discharges of urine at night, 
or while sitting, or when at rest. Gouty or rheumatic 
subjects. 

SEPIA. Incontinence of urine at night, especially in first 
sleep, [see Caust.] *The urine is very offensive, and de- 
posits a clay-colorod sediment which adheres to the 
chamber. 

SULPHUR. Wetting bed at night, copious discharge. 
Suitable to persons of a scrofulous habit, and others who 
suffer from chronic cutaneous eruptions. 



EriLEPSY. 127 

AUXILIARY MEASURES. Children and others troubled 
with incontinence of urine at night should be instructed to 
retain the urine long as possible during the day. They 
should sleep in a cold room, on a hard mattress, with light 
covering; drink but little in the after part of the day, and 
always urinate just before getting into bed. All acid fruits, 
melons, canteloupes and stimulating drinks should be 
avoided. 

A cold sitz bath, 65°, for five or ten minutes before retiring 
will be found very beneficial. Cool sponge-baths, and the 
vigorous application of the flesh-brush, every night, will 
have a salutary effect. 



EPILEPSY. 

This singular malady, whose pathology is still unsettled, 
is characterized by sudden loss of consciousness, accom- 
panied with convulsions. The paroxysms occur at irregular 
intervals. After one attack, months may intervene before 
another, or they may recur in a few days, or several times 
a day. 

PROGNOSIS. The prognosis is most unfavorable. In a 
majority of cases, the disease tends to become confirmed 
and, as a rule, a more frequent recurrence of the paroxysms. 

THERAPEUTICS. Leading remedies. 

AMYL NITRITE. This remedy will often ward off a 
threatened attack. Put ten drops in a small phial, on a little 
cotton, and let patient inhale when an attack is threatened. 
Inhalations of Camphor will have a like effect. 

ARGENT. NITR. Cerebral epilepsy, [see Bell.] Pupils 
permanently dilated a day or two before the tit. From 
fright, during the menses, at night, [see Bufo. Opi.] 

BELLADONNA. *l»ecent cases, with decided brain 
symptoms. Illusions of sight and hearing. Convulsions 
commence in upper extremities and extend to mouth, fauces 
and eyes. Foam at mouth, [Hyos. Opi.] Involuntary mictu- 
rition and defecation, [Hydro, ac] Young and sanguine 
subjects. 

BROMIDE OF POTASSIUM. Has proved curative in 
many cases. It must be given in large and increasing 
doses. Fifteen grains twice or thrice daily, for an adult, to 
begin with. The doses should be increased, if paroxysms 
continue, and remedy be well borne. The medicine is to bo 
continued for a year or longer. Should the paroxysms fail 
to recur for several months, the doses may be diminished, 
and at length suspended, to be resumed, if paroxysms return. 

BUFO. Epilepsy following onanism, [Nux v.] Attacks 
occur mostly at change of the moon, at time of menses, in 
sleep, [see Sili.] Painful weariness of limbs. 

CALCARIA CARB. Chronic cases, [Sili.] # Scrofulous 



128 THERAPEUTIC KEY. 

habit, [Sili.] Sudden attacks of vertigo ; loss of consciousness 
without convulsions. Before the attack sense of something 
running in arm, or from stomach down through abdomen to 
feet. Nocturnal epilepsy, [Bufo. Opi. Sili.] *Cold damp feet. 

CAMPHOR. Epileptic fits with stertorous breathing, red 
and bloated face, coma. Given early will often prevent or 
modify the spasm. 

CAUSTICUM. Recent and slight cases, [see Bell.] Convul- 
sions, especially on right side. During the spasm, copious 
discharge of urine, involuntary, [see Bell.] Idiotic condi- 
tion before the attack. 

CICTJTA VIROSA. Attacks with swelling of stomach, as 
from violent spasms of diaphragm. Hiccough, screaming, 
redness of the face, suddenly becomes stiff and immovable. 

CUPRUM MET. ^Trembling, tottering and falling un- 
conscious without a scream. Froth at mouth, body bent 
backwards, limbs abducted. 

HYDROCYANIC AC. Recent cases, [see Bell.] Sudden 
complete loss of consciousness and sensation Jaws clenched, 
teeth firmly set, froth at mouth. Involuntary discharge of 
faeces and urine, [Bell. Nuz] Frightful distortion of face 
and limbs. 

HYOSCYAMUS. Epilepsy preceded* by vertigo, sparks 
before the eyes, ringing in ears, hungry gnawing. During 
attack face purple, eyes projecting, shrieks, grinding teeth ; 
urination. After attack, sopor, snoring. 

NUX VOMICA. Aura epileptica, body bent backwards, 
with consciousness, [see Cup.] Limbs rigid and go to sleep. 
Fits excited by emotions, anger, indigestion, [see Opi.] 
Constipation. 

OPIUM. *Spasms begin with loud screams, then foam at 
mouth, trembling of limbs and suffocation. Eyes half open 
and turned up, pupils dilated and insensible to light. After 
attack deep sleep, face red and hot. 

SILICEA. Nocturnal epilepsy, especially about new moon, 
[see Bufo.] Chronic cases, [after Cal. c] Attacks preceded 
by coldness of left side, shaking and twitching of left side. 

AUXILIARY MEASURES. During attack, loosen all 
clothing that constringe the neck or chest, place a cork or 
piece of wood between teeth to protect tongue and lips, and 
guard patient against personal injury. If unable to swal- 
low, put a few drops of indicated remedy on a handkerchief 
and allow him to inhale it. 

HYGIENIC. Epileptics should observe a regular, quiet 
mode of life, avoid all excitement or over-exertion. Out-doors 
exercise, suitable clothing, frequent ablutions, friction of 
the skin, regular habits, and mental quietude, the best pre- 
ventives. 

DIETETICS. The diet should be plain, simple and of easy 
digestion, consisting largely of vegetables, very little animal 



EPISTAXIS. 129 

food, fresh ripe fruits, Graham bread, light puddings, oat- 
meal mush, etc. All stimulating food, alcoholic drinks, and 
the use of tobacco, should be discarded. 



EPISTAXIS. 

[Hemorrhage from the Nose.) 

THERAPEUTICS. Leading indications. 

ACONITE. Adapted to sanguine, plethoric persons, [Am. 
*Bell. Bry.] *Blood bright-red and copious, with fullness of 
head 

AGARICUS. Old people with relaxed state of circulatory 
system. Nosebleed when blowing nose in morning. 

AMMOHITJM CABB. Epitaxis when washing face in cold 
water. 

ARNICA. After external injury. *Nosebleed preceded 
by tingling sensation in nose. 

BELLADONNA. *Congestion to head, with red face, 
[Aeon. Bry. *Erirj.] Blood bright-red, flowing freely. Worse 
from motion, noise, bright light. Persons of full habit. 

BRYONIA. * Bleeding of nose when the menses should 
appear, [Ham. *Puls.] When occurring in morning, or from 
overheating. Irritable mood ; hard, dry stools. 

CARBO VEG. Profuse and long-continued nosebleed. 
Great paleness of face before and after the attack, [reverse, 
Bell.] After straining at stool. Small intermitting pulse. 

CHINA. Weakly persons who have lost much blood. 
* Habitual nosebleed, especially morning on rising. Ringing 
m ears, pale face, fainting. 

CROCUS. The blood is black, thick, stringy, with cold 
sweat on forehead. 

ERIGERON. Congestion to head, with red face, [see Bell.] 
Copious bleeding; febrile action. 

HAMAMELIS. In combination icith haemoptysis. *Flow pas- 
sive, non-coagulable. Vicarious menstruation. 

PHOSPHORUS. *Frequent recurring attacks of profuse 
bleeding, especially duri; g stool. Slight wounds bleed much. 
*Long, narrow, hard stools. 

PULSATILLA. Suppressed or scanty menses, [see Bry.] 

SECALE COR. Ansemic state, [Chin.] Blood dark, runs 
continuously, with great prostration. After long continued 
and exhausting disease, [Chin.] Blueness of skin. 

AUXILIARY MEASURES. Place patient in a sitting 
posture, body bent slightly forward, neck straight. Instruct 
him to close the mouth and breathe through the nose, to favor 
coagulation. Raise arms above the head, and keep in that 
position some time. Apply ice-cold water to root of nose and 
nape of neck. Pressure on facial arteries, over the superior 
maxillary bones just before the vessels reach alas. Sniff tannin 
6* 



130 THERAPEUTIC KEY. 

or powdered matico-leaf np the nostrils. Inject into nostrils 
solution of alum or chloride of iron. 

In dangerous cases, plug posterior nares: Take a cord, 
sny two feet long, tie in the middle a dossil of lint or piece 
of sponge less than an inch in diameter. Now pass a female 
catheter or bougie, armed with another cord, through the 
nostril into pharynx ; seize the end with forceps, bring it 
out through mouth, and tie the two cords together. Now 
pull it back through the nose and the sponge guided by the 
finger will cary it into the posterior opening. Plug front 
opening if necessary. Remove in a day or two by washing 
out the coagula, then pushing plug back with a catheter or 
blunt probe, and drawing on the cord in the mouth. 



ERYSIPELAS. 

THERAPEUTICS. Leading indications. 

ACONITE. Chili and synochal fever, with dry, hot skin 
and full, quick pulse. Great redness, tingling and burning in 
face, [Bell.] *Vertigo from sitting up in bed. *Great fear 
and anxiety of mind, with nervous excitability. *Cannot 
bear the pain, nor to be touched or uncovered. 

AMM. GARB. *Erysipelas of old people, when cerebral 
symptoms are developed. Tendency to gangrenous destruc- 
tion. Soreness of the whole body. 

APIS MEL. Erysipelas of face and scalp, with ©edema- 
tous swelling of eyelids, [see Rhus.] *13urning, stinging 
pains in affected parts. *Chilliness from least motion, with 
heat of face and hands. *Dryness of throat, without thirst, 
[Puis.] Urine dark-colored and scanty. 

ARSENICUM. * Phlegmonous, parts assume a blackish hue, 
with tendency to gangrene, [Carb. v.] * Burning pains, the 
parts burn like fire, [Aeon.] *Rapid prostration of strength. 
*Great anguish, extreme restlessness, and fear of death. 
^Intense thirst, drinking little and often. Worse, particu- 
larly after midnight, [Rhus.] 

BELLADONNA. Especially facial erysipelas. * Smooth, 
red, shining skin, not much swollen, [Acon.J *The redness 
begins in a small spot, and runs in streaks from the centre. 
*Congestion to head, with delirium. Throbbing headache, 
worse from motion. *Great intolerance of light or noise. 
Aggravation about 3 p. m. 

BRYONIA. Erysipelas of joints, [Puis.] Hot, red swell- 
ing of affected parts. *Pains stitching, burning and sting- 
ing; worse from least motion or touch. *Patient wants to 
remain perfectly quiet. *Cannot sit up from nausea and 
faintness. Lips parched, dry and cracked. Splitting headache. 
Very irritable. Dry, hard stools* 

CANTHARIS. Vesicular erysipelas, [Cro. tig. Graph. * Rhus, 
t.] Active inflammation of skin, with more burning than 



ERYSIPELAS. 131 

itching, and exudation of serous liquid raising the epidermis 
in the shape of blisters. *Constant desire to urinate, pass- 
ing but a few drops at a time. 

. CROTON TIG. Vesicular erysipelas, [see Rhus t.] * Scar- 
let redness of the skin, with rash-like vesicles, [Canth.] 
* Intense itching, followed by painful burning, [more burning 
than itching, Canth.] Erysipelas of scrotum, 

GRAPHITES. Unhealthy skin ; the slightest injury in- 
clines to suppurate, [Hep.] ^Phlegmonous erysipelas, with 
burning, tingling pains, [Bell.] *Vesicular eruptions, dis- 
charging a sticky, glutinous fluid. Persons inclined to 
obesity. 

HEPAR SULPH. Where the disease inclines to terminate 
in suppuration, [see Graph.] The eruption is very sensitive 
to touch. Especially after the abuse of mercury. Empty 
feeling at the stomach. 

OPIUM. Cases which supervene during pneumonia, ty- 
phoid or other fevers. *Profound coma, with stertorous 
respiration. Eyes dull and watery, pupils dilated. Face 
dark red and bloated. Stools composed of hard, black balls, 
[Thuy.] Slow pulse. 

RHUS RAD. Erysipelas in hot weather. *(Edematous 
swelling of face, with itching, burning and pricking. Phleg- 
monous erysipelas, [Bell. Hep. Graph.] Joints stiff. 

RHUS TOX. * Vesicular erysipelas, [Canth. *Cro. t. Graph.] 
*Left side of face involved first, then goes to right, [if it goes 
to scrotum, Crot. t.] Burning and redness of surface, which 
soon swells and becomes covered with watery vesicles. * In- 
tolerable burning, itching and tingling in parts. Eyelids present 
a bladder-like appearance. Swelling and redness of face, 
with partial or entire closing of eyelids. Bruised feeling in 
limbs and back. 

SULPHUR. In cases terminating in ulceration, and 
where it has assumed a chronic form. The parts burn and 
itch when near fire, or from getting in a heat. *Frequent 
weak, faint spells. Vesicular eruptions filled with pus. 
*Constant heat on top of head. Early morning diarrhoea. 
Dry, husky, scaly skin. Scrofulous diathesis. 

LOCAL MEASURES. It is pretty generally admitted by 
the homoeopathic school that local applications in the treat- 
ment of erysipelas are productive of more evil than good. 
In the simple form of the disease, dusting the parts with 
powdered starch or rye flour will allay the troublesome itching 
and burning that annoys patient so much. In phlegmonous 
erysipelas, where the deep-seated tissues are involved, and 
there is evidence of suppuration, make free incisions 
through the skin and apply linseed meal poultices. Should 
gangrene supervene, use poultices made of charcoal and 
brewer's yeast, and provide for free escape of pus. 

DIETETICS. The diet should be very simple ; thin 



132 THERAPEUTIC KEY. 

gruel made of rice, arrowroot, tapioca, farina or corn- 
starch, may be taken in the inflammatory stage ; later, or in 
the phlegmonous variety, a more generous diet must be 
allowed; milk, broths, beef-tea, etc. Cold water, and 
abundance of fresh air. 



FELON.—WEITLOW. 

TREATMENT. Among the many remedies advised as 
preventives in this painful affection are the following : In the 
early stage hold finger in hot turpentine for ten minutes, 
three or four times a day. Wrap the part up in turpentine 
and salt. Immerse the affected part in lye, hot as can be 
borne, for half an hour, three or four times a day. Soon as 
pain and inflammation are perceived, wrap the skin of a 
boiled egg around the parts, and keep it on some time. 
Apply a compress wet with tincture of Lobelia, and renew it 
every two hours. This is said to be very efficacious. 

LEADING REMEDIES. 

ALUMINA. Early stage, pricking, burning, slight swell- 
ing and redness. Brittle nails, and tendency to ulceration 
of finger-tips. Apply the moistened clay externally. 

APIS MEL. *Burning, stinging pain ; application of cold 
water relieves. After the abuse of sulphur. 

ARSENICUM. ^Burning in parts like fire. The sore 
turns black, assuming a gangrenous appearance, [Lach.] 
Anxious restlessness, prostration. Worse about midnight. 

BELLADONNA. Parts very red, the inflammation spreads 
over the whole hand and up the arm. Throbbing headache. 
Persons of full habit. 

GRAPHITES. Superficial inflammation about root of 
nail, with burning pain. *Sore does not heal readily, and 
" proud flesh " springs up, [SilL] 

HEPAR SULPH. Suppuration imminent, [Merc. Sili.] * Vio- 
lent throbbing " gathering pain," accelerates suppuration. 
* Unhealthy skin, every little injury suppurates. 

LEDUM. If caused by external injuries, as splinters, etc. 
*Gouty nodosities on hands and fingers. 

MERCURIUS. If the disease extends to the sheaths of 
tendons, and ligaments of joints, [Meze.] *Caries of the 
bones, [Sili.] Suppurative process slow. 

PHYTOLACCA. When the disease is located in palm of the 
hand, pains sharp and darting. Apply the raw bruised root 
externally, 

SILICEA. * Deep-seated, terrible pains, swelling unabated. 
*Suppuration imminent, or in cases where discharge be- 
comes fetid, thin and watery. Fistulous openings form, 
slow to heal. *Caries of the bones. 

LOCAL TREATMENT. Warm poultices, made of bread 
and milk, or linseed meal y applied to the part and changed 



FOREIGN BODIES IN THE EAR, ETC. 133 

often, will be found useful in softening the skin and relieving 
the pain. 

Should pus form notwithstanding the above treatment, 
make a free incision into the tumor down to the bone. Before 
doing this it will be better to use a local ansesthelic [see article 
Local Anaesthetics], .and operate quickly. Continue the poul- 
ticing, and if unhealthy granulations spring up at any time, 
sprinkle with burnt alum, or touch with caustic. 



FOREIGN BODIES IN THE EAR. 

Extraneous bodies, as gravel, bits of glass, shot, peas, etc., 
are often put into the ears by children, and may cause 
inflammation or deafness, if not quickly removed. 

TREATMENT. Seat patient so that direct rays of sun 
will fall upon the ear, or if this cannot be done, use a lamp 
with a reflector ; pull auricle outwards and backwards, and 
introduce Speculum well into meatus, and examine carefully. 
The foreign body can generally be removed by slender 
forceps, or a hair-pin bent at an obtuse angle, and passed 
beyond the object, and withdrawn. Hardened wax, dirt, 
hair and loose flakes of cuticle, may be dislodged by syringing 
with warm water. Insects in ear should be deluged with 
olive oil, and when they become visible removed with 
forceps. 

If, before effort is made to extract the object, swelling and 
inflammation have occurred, they must be reduced before 
poking instruments into the ear. Apply hot fomentations, 
and give Aconite, if patient is *anxious, restless, tossing 
about; ear hot, red, swollen, very painful. Belladonna, if 
mind is confused; hearing acute; shooting pains in ear; 
parotid gland swollen and red. 



FOREIGN BODIES IN THE EYE. 

TREATMENT. First examine the cornea, then if neces- 
sary evert lower lid, and direct patient to look up. If nothing 
is discovered, turn upper lid inside out, by taking hold of 
eyelashes and turning the lid up over a probe. 

If dust, fine sand, or like substances have entered the eye, 
syringe out with tepid water, or place the eye in a vessel of 
water and hold it there for a time. 

If caustic, sharp acid or salts get into the eye, drop into 
it sweet oil. 

If mineral substances, paint, cantharides, dead insects, etc., 
drop into the eye white of egg. 

If lime, ashes, dye-stuffs or tobacco, deluge the eye with 
cream or sour milk. 



134 THERAPEUTIC KEY. 

Particles of iron, cinders, etc. , in the eye, may be removed 
with a bent horse-hair placed around the object and under 
the lid, and then drawn forward, or by picking off with fine 
forceps. Failing in these, put a few drops of a four per cent, 
solution of Cocaine into the eye, and when it becomes insen- 
sible to contact, pass the point of a cataract needle or lancet 
under the object and lift it out. 

If a foreign body has passed within the anterior chamber, 
it is best to remove it at once; this may be done with instru- 
ments used for the extraction of cataract. 



FOREIGN BODIES IN THE NOSE. 

TREATMENT. Children often put beans, peas, grains 
of corn, and other foreign bodies into the nose. It is best 
to extract them at once. This may be done with a scoop, 
bent probe, a bristle probang or slender forceps. Sometimes 
the object can be expelled by tickling the nostrils with a 
feather or a little snuif to cause sneezing. If it cannot be 
brought through the nostrils, it must be pushed back into 
throat. Take a female catheter, pass it through nostrils with 
its convexity upwards and point on object, push back through 
posterior nares. In some cases it may be necessary to use 
an anaesthetic in the removal of these foreign bodies. 



FOREIGN BODIES IN PHARYNX AND 
(ESOPHAGUS. 

When foreign bodies get fixed in pharynx or oesophagus, 
they produce a sense of choking and fits of suffocative 
cough. They may prove fatal by causing suffocation, spasm 
of glottis, or ulceration of parts. 

TREATMENT. When pins, small bones, pieces of glass, 
etc., become lodged in pharynx, seat patient in a bright 
light, press down tongue, and if the offending object can be 
seen, extract it with curved forceps. If it has passed into 
oesophagus, take a smooth whalebone, tie to the end numerous 
silk-slings or nooses, pass this into the throat below the 
object, turning it several times, then withdraw it. A whale- 
bone armed with a dry sponge — surface oiled — introduced 
with rotary motion, the patient given a sup of water and the 
sponge withdrawn has been successful. If the substance is 
large and would do no harm in stomach, push it down with 
probang. 

A fish-hook, with line attached, has been swallowed. In 
this case, drill a hole through centre of a leaden or ivory 
ball, pass the line through this and cause patient to swallow 
it, then pull both up together. 



FOREIGN BODIES IX LARYNX, ETC. 135 

Children have swallowed needles [head foremost], with 
thread fastened in the eye. Take a whalebone or a wire 
with a hole in the end, pass the thread through this, [if 
thread is short, tie a piece to it] push this with needle into 
the stomach, then withdraw both together. 

As a last resort in these cases, oesophayotomy. 



FOREIGN BODIES DT LARYNX AND TRACHEA. 

When a foreign body enters the rima glottidis, it produces 
violent spasmodic cough and dyspnoea, fixed pain at particu- 
lar spot, and loss of voice. "When it passes into trachea, it 
may be heard or felt with finger during a fit of coughing. 
When it enters the bronchia, [generally the right] it causes 
a whistling or murmuring sound, detected by stethoscope. 

TREATMENT. If promptly on the spot, raise patient by 
the heels, and slap him upon the back. Search pharynx 
with finger and extract the substance. Blow snuff into the 
nose to induce sneezing, or tickle the throat to excite 
von:iting. Failing in these, recourse must be had to 
Tracheotomy. 

IPECAC. May be given for suffocative attacks. *Rat- 
tling of mucus in brochia. Inclination to vomit. 

TART. EM. *Much rattling of mucus in trachea. ♦Suf- 
focative paroxysms. Breathing rapid. 

OPIUM. Suffocative paroxysms ; patient turns purple in 
face. *Slow pulse. 



FRACTURES. 
GENERAL CONSIDERATIONS. 

In a case of supposed frature, if any doubt exists as to the 
diagnosis, etherize patient and examine carefully. Do not be 
in too big a hurry. 

Bones should be set as soon after the injury as possible. 

If much tumefaction and soreness, cover ihe limb with hot 
compresses wet with a solution of Arnica [ounce to the pint], 
and g'ixe Arnica internally. 

The indications for treatment are : 1st. To place fragments 
in their natural position. 2d. To keep them in position until 
union takes place. 

DRESSINGS. These consist of: Bandages, Splints, Ad- 
hesive strips, Bran, Cotton padding, Fracture-boxes, etc. 

Bandages. The common roller bandage, made of cotton 
or linen cloth, cut 3 inches wide and about 4 yards long is 
generally us«d. The many-tailed bandage, however, is used 
in most cases of fracture of lower extremities. For par- 
ticulars see Wounds. 



136 THERAPEUTIC KEY, 

Splints. A great variety have been introduced, some valu- 
able, others without merit. Those possessing the essential 
points must be light, firm and easy of application. Thin 
strips of wood, heavy binder's board, sole-leather and felt 
answer well in most cases of simple fracture. 

PLASTER OF PARIS SPLINT. Take two pieces of flannel 
or cotton cloth suited to length of splint, and wide enough to 
encircle the limb and overlap slightly in front. Stitch them 
together from top to bottom in the middle. Place them under 
the limb with the line of stitching on back of leg. The upper 
piece is now turned up on each side and pinned smoothly 
over the shin. Now mix the plaster with about equal bulk 
of water and spread quickly over the flannel covering the 
limb. The outer piece is now brought over and a roller 
applied to make it smooth and regular. The limb must be 
held firm and straight until the plaster hardens, which will be 
in five or ten minutes. 

This splint can be opened or taken off at pleasure by 
removing the pins when the sides will separate, the line of 
stitching acting as a hiuge. Suitable openings may be made 
in the sides in case of compound fractures. 

STARCH BANDAGE. As a permanent dressing this may be 
applied in recent fractures and where no shortening of limb 
is to be overcome. Prepare some wheat flour paste, cover 
the limb with corded cotton, and fill up all inequalities of 
surface and apply over this a wet bandage. Now, with the 
hands smear on the paste, and then retrace the course of the 
bandage, again apply the paste and again the bandage. 
Over this run a dry roller and keep limb in proper position 
until bandage is dry. 

GENERAL TREATMENT- The first step in the treat- 
ment is to adjust the fracture. Second, to bind up the part 
in such a manner as to insure perfect rest. 

Union takes place in from four to ten weeks. Younger 
the subject, more rapid will be the repair. 

Care should be taken not to put dressings on too tightly. 
Tf fingers or toes become cold, blue or benumbed, loosen 
bandages. 

If much pain be felt in parts after dressings are applied, 
it will most likely be due to displaced fragments ; look to 
this. 

Open bandages on third or fourth day to see that all is 
right. 

In fractures near joints, remove dressings frequently, 
[two weeks after injury] and make passive motion to prevent 
anchylosis. 

Compound Fractures. The question of amputation will 
frequently arise in these cases. If it is decided to try to 
save the limb, remove all fragments and splinters of bone. 
If a sharp end of bone protrude and cannot be returned 
easily, saw it off 



FROST-BITE. — EFFECTS OF COLD. 137 

Dress wound antiseptically. See article Antiseptic Dress- 
ings. Provide for free drainage. Have apertures in 
splints so wound can be dressed without disturbing whole 
limb. 

Build up general health with appropriate nourishment — 
beef-tea, broths, milk, eggs, etc. 

Extension will be required in, some cases to prevent over- 
riding of fragments. In all cases of fracture of femur, and 
occasionally of the humerus, it will be necessary to provide 
for extension. 

MEDICAL TREATMENT. Care should be taken to 
correct any constitutional disturbance that may arise by 
appropriate remedies. 

ACONITE. * Anxiety, restlessness, and tossing about. 
High temperature, and other febrile symptoms. Threat- 
ened erysipelas. 

ARNICA. * Stupefaction after concussion of brain. 
Vomiting dark red bpapila. *13ruised, sore feeling all 
over, [Ruta g.] Bed feels hard. *Contusions without 
lacerations. 

CALCARIA PHOS. Highly commpnded in non-union of 
fractured bones. ^Scrofulous subjects, especially flabby, 
shrunken, emaciated children. 

Prof. Helmuth advises Churchill's hypophosphites of lime 
nnd soda to hasten the formative process. L'ose: a tea- 
spoonful in a glass of water, taken during a meal. 

SILICEA. Compound fractures, with malignant and gnn- 
grenous inflammation. *Fistulous openings, discharges 
offensive, parts around hard, swollen, bluish red. 



FROST-BITE.— EFFECTS OF COLD. 

Portions of the body, as the feet, hands, nose, ears, etc., 
may be frozen, and the patient be quite unconscious of it at 
the time. The first visible effect is a dull red color, the 
result of imperfect circulation. If the cold be continued, 
the parts become of a livid, tallowy paleness, insensible, 
motionless, and reduced in bulk. 

TREATMENT. Place patient at once in a cold room, and 
rub the frozen parts briskly with s?ioiv or ice-water until a 
slight degree of warmth is obtained. After a time cold water 
may be substituted for the snow or ice. Soon as the circula- 
tion is restored, the room may be made warmer, and the 
parts wrapped in dry flannel. 

For the fever and burning pain that usually follows the 
reaction, give Aconite, and apply compresses wet with a 
solution of the same. 

AGARICUS, is excellent when the itching is very intense, 
with burning. This remedy is frequently sufficient to cure 
J he affection. 



138 THERAPEUTIC KEY. 

GAHGRENE.-MORTIFICATION. 

Mortification signifies death of any part of the body, the 
result of disease or injury. The incipient stage, when the 
parts are still recoverable, is called gangrene, and later when 
vitality is totally destroyed, mortification. 

Dry Gangrene is a form of the disease mostly found in 
persons of advanced years, and is the result of deficient 
arterial circulation. The parts become hard, dry, shriveled, 
insensible and of a purple hue. 

THERAPEUTICS. Leading indications. 

ARSENICUM. *ITot, shining, burning red spots and 
bluish blisters. Hard, red, blue, painful swellings, relieved 
by external warmth. *Fetid diarrhoea, worse after mid- 
night, with restlessness and prostration. * Intense thirst, 
drinking little and often. 

CROTALTJS. Dark redness of the swollen parts, which 
burn like fire, [Ars.] Livid spots with frequent fainting 
fits and feeble pulse. Swollen part is cold and painful to 
pressure. Heat and intolerable gnawing of the feet. 

LACHESIS. Impending gangrene. Ga*ngrenons blisters, 
bluish or black-looking, burning and itching. Tingling in 
the parts with heat and redness. Ichorous offensive dis- 
charge, [Ars.] Traumatic gangrene, [Crotal.] *Great 
tenderness of throat to pressure. 

SECALE COR. Gangrene, especially of old people [Ars.] 
The whole skin looks dingy and shriveled. *I)ry gangrene 
of the extremities, the parts are dry, cold, hard and insen- 
sible, of A uniform black color. *Painless diarrhoea, with 
great weakness. Kumbness, insensibility and coldness of 
limbs. 

CHINA. After repeated "hemorrhages. Humid gangrene, 
parts turn black. Coldness of the extremities. 

CARBO VEG. Dry gangrene, [vide £ec] Cachectic per- 
sons, where vital powers have become weakened. *Great 
foulness of all the secretions. 

For other remedies and treatment of gangrene, see 
Wounds. 

LOCAL MEASURES. In humid gangrene, where sloughs 
are superficial, apply poultices of powdered Charcoal and 
brewer's yeast. Incise and remove all der.d pieces soon as 
they loosen. Cleanse the parts frequently with solution 
Carbolic Acid, [gtts. v. Aq. ferv, gj] using it as hot as can 
be borne. 

In gangrene from extreme heat or cold, apply emollient 
poultices, u.^e disinfectants, and wait until nature draws 
the line by which to amputate. 

In dry gangrene, wrap the parts in lint and cover with 
oiled silk. If there is much discharge, change the dressings 
daily ; otherwise, leave on for a week. 



GASTRIC DERANGEMENT. 139 

DIETETICS. Sustain patient by a nutritious diet — broths, 
beef-tea, milk, eggs, tender steak, cream-toast, rice pud- 
dings, etc. 



GASTRIC DERANGEMENT. 

THERAPEUTICS. Leading indications. 

ACONITE. Thirst, frequent pulse and great impatience. 
Vertigo on raising the head. *Burning thirst for beer, [Bry. 
Nux. Puis.] Everything tastes bitter except water, [see Bry.] 
*Pressure in region of liver. Rumbling and fermentation 
in abdomen, Lye] *Watery diarrhoea. 

ANTIMO. CRTJD. Gastric derangement from overloading 
stomach. * Milky-white coating of tongue. Putrid eructations, 
smelling like bad eggs, [*Arn. Sep.] Persistent vomiting which 
nothing can stop. Cramp-like pain in stomach, [Nux.] *Stools 
watery with hard lumps. 

ARGENT. NIT. Constant dull headache. *Head feels much 
too large, [Cimi. Gel. Nux.] Thick, tenacious mucus in throat, 
obliging him to hawk frequently. *Belching after every 
meal, stomach feels as if it would burst with wind, [see 
Chin.] Gastralgia after ice-cream, pain radiating in all 
directions. 

ARSENICUM. Debility and exhaustion. Putrid, fetid taste. 
*Loss of appetite, with violent thirst, drinking little and often, 
[Chin.] Water-brash, [Bry. Nux. Puis.] *Vomiting imme- 
diately after eating or drinking, [*Bry. Nux ] Pressure in 
stomach as from a stone After the use of ice-cream, ice-water, 
sour beer, tobacco. *Relief from hot drinks. 

BRYONIA. Irritable mood, wishes to be alone [Nux/ 
*The head aches as if skull would burst, [Aeon. Bell." 
Tongue coated white or brown. Desire for coffee, wine, [Nux." 
*AH food and drink taste bitter, [Puis ] *Vomiting imme- 
diately after eating, [*Ars. Nux. Puis.] Stomach sensitive 
to pressure. *Constipatii n of dry, hard stools. 

CARBO VEG. Bitter taste before nnd after eatinpr. ♦Long- 
ing for coffee, acids, sweet and Salt things. Sour, rancid 
eructations. Pyrosis, great flow of water, [Chin. Nux. Puis.] 
Bloatedness of abdomen. Af; er dc battening. 

CHAMOMILLA. * Irritable, impatient mood, [Bry. Nux.] 
Tongue coated white or yellowibh. Hitter, sour or putrid 
taste. Aversion to coffee, beer, and warm drinks, [Chin. 
Ferr. Lye] *Vomiting bile, what has been drunk, slimy 
matter, or green mucus. Wind colic, abdomen distended like a 
drum; relieved by applying warm cloths. *Greenish diar- 
rhceic stools. 

CHINA. Bitter taste in back part of throat ; bitter taste of 
everything, [see Bry.] Eructations tasting of food last eaten, 
[Nux. Phos. *Puls. Sulph.] * Abdomen feels full and tight, 
as if stuffed, eructations afford no relief, [relief from 



140 THERAPEUTIC KEY. 

belching, Arg. n.] Weakly persons who have lost much 
blood. 

HYDRASTIS. Peppery taste, tongue as if burnt, [Verat.] 
*Dull, aching pain in stomach, causing a faintish, weak, 
gone feeling in epigastric region. -Bread or vegetables cause 
acidity, weakness, indigestion. Constipation, stools lumpy 
and covered with mucus, 

IPECAC. Flat. taste, with white, thickly-coated tongue, 
[Ant. c] * Constant nausea, with vomiting food, bile, jelly- 
like mucus, [Ant. c] Stomach feels relaxed, as if hanging 
down, [Staph.] ^Diarrhoea, stools as if fermented, green 
as grass. After eating sour> acrid things, unripe fruit, berries, 
salads, etc. 

IRIS VERSI. *Gastric sick-headache. Gums and tongue 
feel as if covered with a greasy substance. * Burning distress 
in stomach, with vomiting sour fluid. " Grumbling belly- 
ache," with watery diarrhoea. 

LYCOPODIUM. Everything tastes sour, [*Chin. Nux.] 
Heart-burn, water-brash, [Nux. Puis.] Great fullness in 
stomach after taking a mere mouthful of food. ^Constant 
sense of fermentation in abdomen, like a pot of yeast work- 
ing. Constipation, stools scant, hard, and passed with diffi- 
culty. *Red sand in urine. 

MERCURIUS. Dull and stupid feeling, with dizziness. 
Head feels as if it would burst, with fullness of brain, [see 
Bry.] *Bitter, sweetish, saltish, putrid or slimy taste. Re- 
gurgitation or vomiting food, [see Puis.] *Stomach burns, 
is swollen and sensitive to touch, [Nux. Phos.] Symptoms 
all worse at night, and in damp, rainy weather. 

NUX VOMICA. The patient is very irritable, inclines to 
scold, and wishes to be alone. *Headache, with nausea, and 
vomiting sour, bitter substances, [Bry. Puis.] All food tastes 
bitter, [tastes sour, *Chin. Lye] Sour or bitter eructations. 
"^Cramp-like pains in stomach, after a meal. Habitual con- 
stipation, with frequent urging to go to stool, [Bry. Lye] 
^Persons of sedentary habits, or after the use of drug- 
mixtures, alcoholic drinks, etc. 

PHOSPHORUS. Belching large quantities of wind after 
eating, [Arg. n.] * Very sleepy afrer meals, especially after 
dinner, [Lye. Nux.] Burning in stomach, extending to throat. 
*Constipalion ; stools long, narrow and hard, like a dog's. 
Cold feet and legs. 

PULSATILLA. Mild, gentle, tearful disposition, [reverse, 
Bry. *Cham. Nux.] No appetite or thirst. ^Everything 
tastesbitter, [see Nux.] Aversion to f.t food, pork, meat, bread, 
milk. ^Eructations tasting and smelling of food, [*Chin. 
Phos. Sulph.] Vomiting food, mucus. or bitter, sour sub- 
stances. Chilliness, even in a warm room. Craves coot, fresh, 
air, worse in a warm room, or from eating warm food, [reverse, 
Ars.J After eating pork. pastry, rancid butter, etc. 



GASTRITIS. 141 

DIETETICS. At the outset of attack, abstain from all 
food. Bits of ice may be taken to appease thirst. Three or 
four times a day, patient should drink a cupful of water, hot 
as can be borne. As improvement advances, nourishment 
must be taken cautiously. Thin gruel, milk, barley and rice- 
water. Later, beef, mutton and chicken-broths. Return to 
use of solid food very cautiously. 



GASTRITIS. 

(Inflammation of the Stomach.) 

THERAPEUTICS. Leading indications. 

ACONITE. Synochal fever, hot, dry skin, full, quick pulse, 
and intense thirst. Sharp, shooting pains in stomach, with 
retching and vomiting blood. *Bitter bilious vomiting, with 
anguish and fear of death. *Great fear and anxiety of 
mind, with nervous excitability. Shortness of breath; 
great restlessness. 

APIS MEL. *Great tearfulness, cannot help crying, 
[*Puls.] Tongue dry, red at tip, swollen. Intense thirst, 
drinks little, but often, [*Ars.] Vomits food soon as taken, 
[*Ars. Bry. *Verat.] Burning heat in stomach, with great 
soreness, [Aeon.] Greenish, yellowish, watery stools, worse in 
morning. 

ARNICA. After mechanical injuries. * Vomiting dark, 
coagulated blood, [Ars. Nux.] *Sore, bruised feeling all 
through the body; bed feels hard. Belching, with taste of 
putrid eggs. 

ARSENICUM. Anxious expression of countenance. *Heat 
or burning in stomach, with sharp, shooting pains, [see 
Bell.] * Vomiting everything eaten or drank, [Bry.] Vom- 
itiny. *Urgent thirst for cold wat r, drinks often, but little 
at a time, [Apis.] *Great restlessness and anxiety, with 
fear of death. Rapid prostration of strength. 

BELLADONNA. Great heat and tenderness of whole abdo- 
men, the skin imparts a sensation of burning to the hand. 
Burning, cutting pains in stomach, [Ars. Bry.] *Pains 
come on suddenly and cease as suddenly. *Congestion to 
the head, with throbbing headiche. Delirium, with desire to 
escape from bed. *Great intolerance to light and noise. 
*Starting and jumping during sleep. 

BRYONIA. Tongue dry and brown. Region of stomach 
exceedingly sensitive, cannot bear least pressure on it. Siitch- 
ing and darting pains in the parts. Burning in stomach, 
[*Ars.] *Vomitinjr immediately after eating or drinking, 
[*Ars. Verat.] *Nausea and faintness from sitting up. 
IMirium, with desire to escnpe. lips parched, dry and 
cracked. Thirst, for large draughts of cold water. * Wants 
to remain perfectly quiet. 



142 therapeutic; key. 

CAN1HARIS. Violent pains in stomach ; patient tossing 
about in despair. Severe burning in stomach, sometimes ex- 
tending down into bowels. *Constant desire to urinate, 
passing but a few drops at a time. Stools like scrapings 
from intestines. Burning thirst. *Vomiting, with violent 
retching. Anxious restlessness, [Aeon. Ars.] 

IPECAC. Where nausea and vomiting are the prominent 
features. Diarrhoea, with grass-green mucous stools, and 
cutting colic. After eating sour, unripe fruit, berries, salads. 

IRIS VERS. Great burning distress in epigastric region. 
Intense burning in region of pancreas. *Sharp, cutting 
pains of short duration, and changing often. Distressing 
nausea and vomiting with pain in the stomach. Aggrava- 
tion by motion, [Bry.] 

NUX VOMICA, Face red and bloated. Tongue red, 
clean and tremulous. Burning pain in stomach, which is 
tender to touch, [Ars. Bell.] *Contractive, spasmodic pains 
in stomach. *Vomiting sour-smelling mucus, also blood. 
Burning in oesophagus up to mouth. Hard, difficult stools, 
with frequent urging. Victims of drastic medicines and 
quack nostrums. 3 

PHOSPHORUS. Dejected, thinks he will die, [see Ars.] 
Tongue dry, cracked, covered witli crusts, [Apis.] * Vomit- 
ing sourish, offensive fluid, looking like water, ink and 
coffee grounds. * Burning, in stomach, extending to throat 
and bowels, [see Nu^] Griping or cutting pain in region 
of stomach, coming in paroxysms. Profuse watery stools , 
pouring away as from a hydrant. j 

PULSATILLA. Epigastrium sensitive. Aching and dart- 
ing pains in stomach. Nausea and vomiting after eating or 
drinking,. [Ars. Bry.] ^Suffocating and fainting spells; 
must have fresh, cool air. *Vertigo when rising up, with 
chilliness. Watery diarrhoea, especially at night. Bitter 
taste, constant spitting of frothy mucus. 

VERAT. ALB. ^Hippocratic countenance, [Ars.] Eyes 
sunken and glazed. Lips bluish and dry. Great soreness in 
region of stomach. *Intense thirst for cold drinks. Inability 
to retain anything on stomach. Extremities cold and covered 
with clammy sweat. Extreme prostration, with anguish and 
fear of death, [*Ars.] Pulse almost imperceptible. Exhausting 
diarrhoea. 

HYGIENIC MEASURES. Provide for an abundance of 
fresh air; keep room light and patient quiet as possible. 
Apply hot fomentations over region of stomach, and change 
frequently. Give injections of lukewarm water to relieve 
the bov/els if constipation is obstinate. 

. DIETETICS. In the active stage, total abstinence from all 
food; only sips of cold water or bits of ice to appease 
thirst. Half a teacupful of hot water taken frequently will 
be found very useful in relieving pain and burning of atom- 



GONORRHCEA. 143 

ach. When improvement sets in, a little fresh sweet milk or 
thin gruel may be taken. Later, beef-tea, animal broths, 
etc. No solid food should be allowed until all traces of 
inflammation have subsided. Return to ordinary diet very 
cautiously. 



GONORRHCEA. 

THERAPEUTICS. Leading indications. 

ACONITE. In early and inflammatory stage, [Can. s. Gel.] 
Burning, smarting in the glans, on urinating. Painful erections 
at night, [*Canth. Cap.] Young plethoric persons, 

AGAVE AMERICANA. Extremely, painful erections. Great 
difficulty in passing urine, accompanied by heat, pain, and 
tenesmus at neck of bladder. Drawing in spermatic cords 
and testicles, extending to thighs, so violent he wishes to die. 

AGNUS CASTUS. Yellow purulent discharge, especially in old 
sinners. *lmpotence, with want of sexual desire or erec- 
tions. Testes cold, swollen, hard. 

ARGENT. NIT. Burning in urethra during micturition, 
with a feeling as if the urethra were swollen and sore inside. 
Swelling &nd induration of testicles from suppressed gonorrhoea. 

CANNABIS SAT. Inflammatory stage with painful symp- 
toms, [see Aeon ] *Great swelling of prepuce, approaching 
phimosis, [see Merc] Dark redness of glans and prepuce. 
*Penis sore, as if burnt, painful when walking. *Strangury, 
[Agave. *Canth.] Burning in urethra during and after mictu- 
rition ; stream forked, [Canth.] 

CANTHARIS. When the inflammation has extended to 
bladder. * Constant desire to urinate, with scanty emission, 
[see Cap.] Painful erections at night, with contraction and 
sore pain along the urethra. 

CAPSICUM. *Cream-like, or purulent, yellow discharge 
from the urethra, [Agn. cas.] Burning, cutting or stinging 
in urethra when urinating; urethra sore to touch. Painful 
erections at night, [see Aeon.] 

HYDRASTIS. Acute or chronic form. *In second stage, 
thick, yellow discharge, [see Sene.] Gleet, with copious, pain- 
less discharge, and debility. Dragging in right groin to testicles, 
[Merc] Feeling of debility and faintness after each passage 
from the bowels, [Verat.] 

IODIDE OF SULPH. *Stricture, with or without enlarged 
prostate. [Should be kept from light, prepared fresh and 
used in trituration when needed.] 

MERCURIUS. Complicated with chancre, [Nit. ac] *Dis- 
charge yellowish-green, purulent, more profuse at night. 
Swelling of prepuce, and inflammatory redness of its internal 
surface. Urine passes in a thin stream, or in drops, some- 
times mixed with blood. *Worse at night, and in damp, 
rainy weather. 



144 THERAPEUTIC KEY. 

NITRIC ACID. Gonorrhoea, with chancres and fig-warts. 
Small blisters on orifice of urethra and inner surface of pre- 
puce. Bloody mucous or purulent discharge, [Merc] Gleet 
[Agn. c. Merc. Thuy.] *Urine very offensive, and painful in 
voiding. After abuse of mercury. 

NUX VOMICA. After use of copaiva, cnbebs, and other 
nostrums. Thin discharge, with burning en urinating and 
urging to stool. Suppressed discharge, with swelling of 
testicles, [swelling of prostate, *Puls ] Dull pain in back part 
of head. * Habitual constipation ; blind or bleeding piles. 

PULSATILLA. Thick, yellow, or yellow-green discharge, 
[see Lith. c] Itching, burning on inner and upper side of 
prepuce. *Suppressed gonorrhoea, with swelling of testicles 
and prostate gland, [see Sulph. Thuy.] Stools flat, small 
in size, Inflammation of eyes. 

SARSAPARIL. * Suppressed gonorrhoea, with rheuma- 
tism of joints, [Thuy.] Herpes on prepuce. Severe tenesmus 
of bladder. *Severe pain at conclusion of urination, 

SENECIO. Advanced stages. Prostate gland enlarged 
and hard. Dull, heavy pain in left spermatic cord down 
to testicles. Lascivious dreams, with pollutions. 

SULPHUR. Gleet, no pain or only slight burning in 
urethra. Rheumatic pains in different parts. *Chronic 
inflammation of eyes. Chronic prostatic affections. *Blind 
or bleeding piles, [Nux.] Dry, scaly, unhealthy skin. 

THUYA. Discharge thin and greenish. Scalding pain 
when urinating, urethra swollen, stream forked, [see Cann. 
s.] *Cheeked gonorrhoea, causing articular rheumatism, 
prostatitis, sycosis, and impotence. Nightly painful erec- 
tions, causing sleeplessness, [see Aeon.] 

TUSSILAGO. Acute stage, with fixed, stinging pain in 
navicular fossa. Also chronio stage, with inflammation of 
eyes and swelling of testicles, after suppressed discharge. 
Persons of irregular habits who use rich food, [Nux v.] 

AUXILIARY MEASURES- A large class of homoeo- 
pathic physicians treat gonorrhoea with irritating injections, 
while others regard these of doubtful utility. They should 
never be used except in the early stage. Nitrate of Silver is 
the favorite remedy; dissolve two grains in an ounce of 
water, and use as an injection every three hours. In the 
fourth or chronic stage, injections of Sulphate of Zinc, [two 
grains to four ounces of water] may be used with benefit. 
Ablutions and injections of warm water, to get rid of any 
irritating discharges, should be frequently employed. 

DIETETICS. A carefully regulated diet. Must be sim- 
ple, digestible, and moderate in quantity. Milk, rice, light 
puddings, farina, corn-starch, sweet fruits, toast, etc. All 
rich highly seasoned food, tea, coffee and alcoholic liquors 
must be avoided. Water should be the principal drinko 



GUM-BOIL. — GUMS, BLEEDING OP. 145 

GUM-BOIL.— ALVEOLAR ABSCESS. 

This is a small abscess commencing generally in the socket 
of a decayed tooth bursting through the gum-tissue and 
sometimes through the cheek. It is also seen on a large 
scale as a secondary affection of scurvy. Sometimes it fol- 
lows the abuse of mercury, phosphorus and other drugs. 
In neglected cases, extensive exfoliation of the bone may 
follow. 

TREATMENT. Proper attention to the mouth and teeth 
will in most cases prevent the formation of these abscesses. 
They should be thoroughly washed and brushed after each 
meal. All tartar should be removed fi*)m time to time, and 
when a tooth becomes decayed, it should be properly filled 
or removed. The general state of the health must be looked 
after. 

BELLADONNA. Tumor red, hard and painful. Pain burn- 
ing, stinging or throbbing, [Hepar.] Bleeding of gums. 

CALCARIA CARB. Gums painful, tender, swollen, bleed- 
ing. Swelling of sub-lingual glands. *Scrofulous diathesis. 

HEPAR SULPH. * Where suppuration is inevitable, 
[Merc. Sili.] Ulcers on gums, [Merc] Scrofulous persons, 
and after the use of mercury. Unhealthy skin. 

MERCTJRITJS. In commencement, often prevents suppura- 
tion, [Hepar. Sili.] Paleness of the tumor or intense red- 
ness, with burning, stinging, beating pain, [Bell.] * Ulcer- 
ated gums. 

SILICEA. Painful inflammatory swelling of gum. * Where 
suppuration is imminent, or in cases where discharge be- 
comes fetid, thin, watery. *Fistulous openings form, which 
are slow to heal. 

LOCAL MEASURES. Suppuration may be hastened by 
poulticing. Chew some bread and cheese very finely, place 
it over the tumor and retain in position by the lips. A 
roasted fig cut in half and applied to the swollen part, makes 
a good poultice in such cases. Should fluctuation occur, 
puncture deep with a lancet. 



GUMS, BLEEDING OF. 

Bleeding of the gums often takes place as a symptom of 
other diseases, as scurvy, low forms of fever, etc., but the 
most troublesome hemorrhage from the gums follow the 
extraction of teeth. 

TREATMENT. Aconite, * Arnica and *Phosphorus are 
the chief internal remedies. "Where these fail, a solution of 
Persulphate of Iron, Tannin, Sugar of Lead, or Creasote, 
will usually succeed. Take a bit of sponge or dossil of lint, 
saturate with one of the remedies, and introduce into the 
cavity of the gum. 
7 



146 THERAPEUTIC KEY. 

In some cases it maybe necessary to plug the gum. To 
do this, first remove all coagulae, then pack the cavity with 
dry wheat flour, and allow it to remain in for some time. 



H^lMATEMESIS.-VOMITDfG BLOOD. 

THERAPEUTICS, Leading indications. 

ACONITE. Febrile excitement. *Sudden excruciating pain, 
with gagging, retching, and vomiting blood. Cold sweat on 
forehead, [Verat.] Stage of desquamation in scarlatina. 
Great fear and anxiety of mind. 

ARNICA. If caus&d by mechanical injuries or over-exertion. 
*Vomiting dark-red coagula. *Soreness all over the body, 
as if from a bruise. 

ARSENICUM. Pale, death-colored face. Great dryness of 
mouth, and brown, blackish tongue. * Burning thirst, drink- 
ing little and often, [Apis. Chin.] Vomiting brownish or black- 
ish stibstances, or blood and mucus. * Burning in stomach, 
[Canth. Nux. Phos.] Prostration, restlessness. 

BELLADONNA. Congestion to head and stomach. *FTa3- 
matemesis, with ringing in ears, red cheeks, feeling of full- 
ness and warmth in stomach. * Aversion to all food or 
drink. Flickering before eyes. 

CANTHARIS. * Vomiting mucus, tinged with bright-red 
blood. Violent burning in stomach, [Ars.] *Consiant de- 
sire to urinate, passing but a few drops at a time. 

CARBO VEG. Hippocratic face, with icy coldness of ex- 
tremities. ^Vomiting sour, bilious, or bloody masses. Fre- 
quent fainting ; intermitting, small pulse. 

CHINA. Haematemesis, great loss of blood, weak, pale, 
cold hands and feet. *Vomits blackish, bloody substances, 
[see Ars.] Stomach feels sore, as if ulcerated. 

ERIGERON. Violent retching and burning in stomach, 
with vomiting blood. Stools small, streaked with blood. 

HAMAMELIS. Vomiting black blood, [see Am.] Sensa- 
tion of trembling in stomach, or fullness and gurgling in ah 
domen. Feverish by spells. Violent throbbing in stomach 
Pain back of stomach along spinal column. 

HYOSCYAMUS. Vomiting blood, with convulsions. Vom 

iting bloody mucus, with dark-red blood. Pit of stomacJ 

tender to touch. Dull, aching about liver, abdomen bloated 

Limbs numb, weak, trembling. 

- IPECAC. Sudden attacks, with great paleness and coldness. 

* Vomiting blood, or a pitch-like substance, [Ars. Sec. Verat.] 

* Indescribable sick feeling in stomach. 

NUX VOM. Malicious, irritable temperament. *Vomiting 
blood or black substances after suppressed hemorrhoidal 
flow. Stomach full and distended, sore to touch. Constipa- 
tion, with black stools. Intemperate habits. 

PHOSPHORUS. Oppression and burning in stomach, [see 



HEMATURIA. i47 

Ars.] Vomiting sour, offensive fluid, looking like water, ink, 
and coffee grounds. *Hemorrhage from stomach, better from 
drinking cold water. *Long, narrow, hard, difficult stools. 

SEC ALE COR. Patient lies still, with great weakness, but 
no pain. Face, lips, tongue, and hands deadly pale, [Phos.] 
* Vomiting brown, blackish, decomposed blood. Thin, scrawny, 
cachectic persons. Desire to be uncovered. 

VEKAT. ALB. Restless, wild look, with pale, distorted 
face. Vomiting blood, or thin, blackish substances, [Ars. Chin.] 
*Slow pulse, coldness, fainting fits, and cold sweat. Nausea 
from raising up, or the least motion. 

AUXILIARY MEASURES. Place patient in bed with 
head low, and enjoin perfect quietude. If hemorrhage is 
severe, give water to drink hot as can be borne, half a teacup- 
ful every fifteen or twenty minutes until vomiting ceases. 
Dry ciqjs may be applied over the stomach, and a cataplasm 
of mustard to the lower part of abdomen. These failing, 
Gallic acid, ten grains every hour or two, should be tried. 
MonseV s solution (Persulphate of Iron), a drachm well diluted, 
is advised as a dernier resort. 

DIETETICS. During the attack, and for some time after, 
no food should be taken — let stomach rest. At first, a little 
warm milk, thin gruel, barley or rice water may be taken. 
Later, and as improvement advances, beef-tea and broths 
may be added. No solid food should be allowed until 
patient is well nigh recovered. 



KffiMATTJKIA. 

[Hemorrhage from the Urinary Organs.) 

THERAPEUTICS. Leading indications. 

APIS MEL. Renal pains, soreness on pressure or when 
stooping. * Urine red, bloody, hot and scanty ; after stand- 
ing, sediment like coffee grounds, [see Tereb.] Urine con- 
tains uriniferous tubes and epithelium, [see Canth.] 

ARNICA. When caused by mechanical injuries, as falls, 
blows, etc., [after straining from lifting, Khus.] 

ARSENICUM. Hemorrhoids of the bladder, urine mixed 
with pus and blood. Painful micturition, with scanty secre- 
tion. *Burning pain in urinary organs. *Extrcme thirst, 
drinking little and often, [Apis. Chin ] Prostration and 
restlessness. 

BERBERIS. *Smarting r burning in region of kidneys, 
[Tereb.] Bloody urine, which settles at bottom of chamber 
in a cake, [Millef.] Transparent, jelly-like mucus, passed 
with the urine, followed by great exhaustion. 

CANTHARIS. *Constant desire to urinate, passing only 
a few drops of bloody, burning urine. * Hemorrhage from 
the urethra, with tenesmus. Cylindrical exudations in the 



148 THERAPEUTIC KEY. 

urine. Drawing pain from region of kidneys to inguinal 
glands. Pain increased by drinking water. 

HAMAMELIS. Hematuria from passive congestion of 
kidneys. Dull pain in renal region. ^Hemorrhoids of the 
bladder, [Ars.] Urine scanty and high colored. 

IPECAC. Hematuria, with cutting in abdomen and 
urethra. *Profuse bleeding, with fainting, paleness and 
sick stomach. Oppression of chest. After suppressed itch. 

LYCOPODITJM. *Renal colic, pain is felt along ureters 
to bladder, especially right side. Hsematuria, especially in 
connection with gravel or chronic catarrh. Urging to 
urinate, must wait long before it will pass. *Red sand in 
the urine, [Phos. Sep.] Craves sweet things, [Arg. n.] 

MILLEFOLIUM. Pain in region of left kidney, followed 
by bloody urine. *Haematuria, after standing blood forms 
a cake in the vessel, [Berb.] If connected with gravel or 
catarrh of bladder, [Lye] Hemorrhagic diathesis, [Ham.] 
Bleeding Piles. 

NITRIC ACID. * Active hemorrhage, with urging after, 
and shuddering along the spine during micturition. Suitable 
to persons who have suffered from gonorrhoea. 

NUX VOM. After abuse of drugs and alcoholic stimu- 
lants. *Hgematuria from suppressed hemorrhoidal flow or 
menses, [Sulph. Zinc] Pain in small of back, so bad he 
cannot move. ^Constipation, frequent urging. 

PHOSPHORUS. *Ha8maturia from debility after sexual 
excesses, blood deficient in fibrin, [see Secale.] *Constipa- 
tion, stools long, narrow and hard, very difficult to expel. 

PULSATILLA. Young girls during the time of puberty, 
or from suppressed menses. *Hgematuria, with burning at 
orifice of urethra and constriction in region of navel. After 
suppressed gonorrhoea! discharges. 

SECALE COR. Passive hemorrhage, [active Ipe. Nit. ac] 
Blood thin and deficient in corpuscles, [see Phos.] Pain- 
less discharge of thick, black blood in consequence of kidney 
disease. Great weakness, with coldness of the body. 

TEREBINTH. *The blood is thoroughly mixed with the 
urine, forming a dirty reddish-brown or blackish fluid, with 
coffee-ground-like sediment, [see Apis.] Burning, drawing 
pains in kidneys. Before urination, pressing and straining 
in bladder when sitting, going off when walking. Burning 
in bladder, worse during micturition. 

UVA URSI. Constant urging to urinate and straining, 
with discharge of blood and slime, or constant straining 
without any discharge at all, [see Canth.] Cutting and 
burning in urethra, succeeded by a discharge of blood. 

AUXILIARY MEASURES. Remedies for the immediate 
arrest of renal hemorrhage seldom required. Our main 
reliance must be general treatment. If much blood has 
coagulated in bladder, it may be necessary to dissolve it 
before it can be passed. " Inject into the bladder two 



HEMOPTYSIS. 149 

ounces of warm water, containing in solution 5 drops Hydro- 
chloric acid and 16 grs. Pepsin.'' Gatchel. — This is said to dis- 
solve the clots so they can be passed or drawn off in a few 
hours. 

DIETETICS. The diet should be plain and unstimulating. 
Graham bread, vegetables, rice, light puddings, a small 
amount of animall food, and ripe fruits, the most suitable 
diet. Mucilaginous drinks, as slippery elm, gum-arabic tea, 
fresh soft water and milk the only beverages. 



HEMOPTYSIS. 

(Hemorrhage from the Lungs.) 

THERAPEUTICS. Leading indications. 

ACONITE. The attack is preceded by fullness of the 
chest, and burning pain, [Bell.] Palpitation of the heart, 
anguish and restlessness. * Great fear and anxiety of 
mind, with nervous excitability. 

ARNICA. After mechanical injury, or bodily exertion. 
♦Expectoration of dark coagulated blood, [Puis.] Tickling 
under sternum, and a sore pain, as if bruised in chest when 
coughing. *The bed on which he lies feels too hard. 

BELLADONNA. *Congestion to head and chest. Con- 
stant tickling in larynx, with cough and expectoration of 
bloody mucus. Stitch-like pains in chest, worse by motion. 
*Yertigo when stooping or rising from a stooping posture, 
[Puis.] Takes cold from every draught of air. 

CHINA. After loss of blood or animal fluids, [Ars.] 
*Singing in the ears and fainting spells. Periodical attacks, 
worse every other day. Debilitating morning and night 
sweats. Painless, undigested stools. 

DULCAMARA. Constant tickling in larynx, with desire 
to cough, [Bell.] Expectoration of bright-red blood, [dark, 
coagulated, Am. Puis.] If caused by a cold or a loose cough 
which existed some time. *Gets worse at every cold change 
in the weather. *On waking in morning, feels giddy and 
dizzy, with a sense of trembling and weakness. 

FERRTJM. Hemorrhage, with flying pains in chest, better 
when walking slowly about, [worse from least motion, Ipe.] 
*Hnemoptysis, with pain between shoulders. Expectoration 
of bright-red blood, [see Puis.] Palpitation of heart, with 
dyspnoea. *The least emotion or exertion produces a 
flushed face. Slender persons with sallow complexion. 

HAMAMELIS. * Profuse hemorrhage of venous blood, 
coming into mouth without any effort, like a warm current 
from chest. Mind calm. Sometimes taste of sulphur in 
mouth. Frequent paroxysms of pain in left ovary, passing 
down to uterus. 



150 THERAPEUTIC KEY. 

IPECAC. *Copious bleeding from lungs, preceded by 
sensation of bubbling in chest. Taste of blood in mouth. 
Cough, with spitting of blood, occasioned by the least effort. 
Nausea and debility. 

MILLEFOLIUM. *Expectoration of light-colored fluid 
blood, without much coughing, sometimes in consequence of 
violent exertions. 

PHOSPHORUS. Tight feeling in the chest, with a dry, tight 
cough. *Vicarious spitting of blood for the menses, [Ars. 
Bry. *Puls.] Occasional attacks of profuse hemorrhage, 
pouring out freely, then ceasing for some time, followed by anae- 
mia and debility. Tubercular diathesis. 

PULSATILLA. Obstinate cases, discharge black and co- 
agulated, [bright-red, Aeon. Dulc. Rhus.] Loose cough. 
*Very nervous during the night. *Chifliness even in a 
warm room. Weakness and pain in lower part of chest. 
Sickish, empty feeling in stomach. *Craves fresh, cool air, 
worse in a warm room. *Scanty or suppressed menses. 

RHUS TOX. Dry cough, which seems as if it would tear 
something out of chest. Discharge of bright-red blood. 
* Tickling under sternum, exciting cough. After strain- 
ing, lifting or stretching arms high to reach things. 

AUXILIARY MEASURES. Place patient on a mattress 
bed in a half sitting posture. Enjoin perfect quietude. Pro- 
vide for an abundance of fresh air. If the case is urgent, and 
not time to await the action of medicine, apply a ligature 
about upper part of left arm, then one about upper part of 
right thigh; if this does not arrest hemorrhage, bandage 
right arm and left thigh in same manner. Soon as bleeding 
stops, loosen bandages gradually. 

DSETETICS. During an attack patient may swallow hits 
of ice frequently. The food at first should be mostly milk, 
gruel, light puddings, then broths, beef-tea, etc. Persons 
subject to these hemorrhages,, should adopt rigid hygienic 
measures ; live with great regularity ; exercise freely in open 
air, eat wholesome, nutritious food; bathe daily and sleep in 
well ventilated apartments. 



HEADACHE. 

THERAPEUTICS. Leading indications. 

ACONITE. Violent stupefying headache, with great full- 
ness and heaviness in forehead. *Sensation as if ihe brain 
would press through the eyes, [Bell.] *Vertigo when 
rising from a sitting posture, [Puis.] Bitter bilious vomit- 
ing, with anguish and fear of death. *Gets desperate, and 
declares he cannot bear the pains. 

ARSENICUM. Periodical headache, [Bell. Sang-. Spig.] 
Great weight in head, particularly in forehead, [on vertex, 
Aeon. Cact. Ign] Beating pain in forehead, with inclination 



HEADACHE. 151 

to vomit. *Violent vomiting, particularly after eating or 
drinking. *Extreme thirst, drinking little and often. 
*Restlessness, prostration, fear of death. Pains worse 
during rest, better by motion. 

BELLADONNA. Sick-headache, head feels as if it would 
burst, [Bry. Nux.] Congestion to head, with throbbing 
carotids. * Violent throbbing pain, especially in forehead, 
obliging one to close the eyes, [Aeon. *Glon.] *Boring 
headache in right side of head. *Vertigo, with stupefac- 
tion and vanishing of sight. Nausea, and vomiting bile, mucus 
or food. *Cannot bear noise or bright light, [Aeon. Ign.] 
Worse about 3 p. m., and from lying down, [better from lying 
down, Glon. Ign.] 

BRYONIA. Headache sets in on first waking in morning, 
[Calc. c. Nux.] *The head aches as if it would split, worse 
by stooping or motion, [Aeon. Bell.] *Wants to keep per- 
fectly still. *Gets faint or sick on sitting up. Sour or bitter 
vomiting. Lips parched, dry, cracked. *Hard, dry stools, 
as if burnt. Patient very irritable, [Cham. Nux.] 

CACTUS Gr. Headache from irregular habits or dissipa- 
tion. Pulsating pain, with a sensation of weight in right 
side of head. Pressing pain, as if a great weight lay on the 
vertex, [see Ars.] Pain commencing in morning and growing 
worse as day advances, [see Spig.] Must lie perfectly quiet, 
as motion, noise or light makes him worse. 

CALC. CARS. Chronic headache. Dull, stupefying, op- 
pressive pain in forehead, with cloudiness of intellect, [Arg.] 
Throbbing headache in morning, continuing whole day. 
*Feeling of coldness in head. *Feet cold, as if they had 
on damp stockings. *Much dandruff on scalp. Vertigo on 
going up-stairs. Menses too soon, too profuse and lasting too 
long. 

CHAMOMILLA. If caused from catarrh, or by drinking 
coffee, [Ign. Nux.] Rending or drawing pain in side of 
head, extending to j iw. Acute shooting or throbbing pains 
in forehead. *One cheek red, the other pale, [Aeon. Nux.] 
*Bitter, bilious vomiting. Over-sensitive to pain ; gets almost 
furious. * Very impatient, can hardly answer one civilly, 
Dysmenorrhoea, with labor-like pains. 

CHINA. Headache from suppressed coryza. Soreness of 
the brain, as if bruised, worse from mental exertion. [*Nux. 
Sulph.] *Intense throbbing headache after excessive de- 
pletion. * Kinging in the ears, and weak, fainting spells. 
Worse every oilier day, [Amb] 

CKIONANTHUS VER. Habitual sick -headache. Severe 
pain, chiefly in forehead and over the eyes. Eyeballs very 
painful, feel sore and bruised. Very sick at ttonaeh; bitter 
eructations, nausea and retching, with desire for stool. 
Vomiting green, ropy bile. 

CIMICIFUGA. * Headache of drunkards and students, 
[Lach. *Nux.] Nervous, rheumatic menstrual headaches, [Bell. 



152 THERAPEUTIC KEY. 

Puis.] Rush of blood to head, brain feels too large for 
cranium. *Top of head feels as if it would fly off, [as if 
opening and shutting, Cann. in.] Dull frontal headache, re- 
lieved by pressure, worse from motion. *Frequent, thin, 
dark, offensive stools. 

COCCULUS. Sick-headache from riding in a carriage, on 
a boat, etc., [Bell. — Better from riding in carriage, Nit. ac] 
Tearing, throbbing headache, especially in evening. *Vio- 
lent headache, which compels patient to sit up, aggravated 
by talking, laughing, none, or bright light, * Vertigo, with 
nausea and vomiting from motion of a carriage. 

CQFFEA. Patient very excitable. *Headache as if a nail 
were driven in brain, worse in open air, [vide Ign.] Pain 
in head as if it would fly to pieces, worse from noise or light. 
Head feels too small, [feels too large, Glon. Nux.] *Extreme 
wakefulness. Burning, sour eructations, [Iris.] 

GELSEMITJM. Severe pain in forehead and vertex, dim 
sight, roaring in ears. Head feels enlarged, [Arg. n. Glon. 
Nux.] *Patient finds himself getting blind before headache 
comes on. Wild feeling, alternating with uterine pains. Adapted 
to nervous, excitable, hysterical females. 

GLONOIN. Congestive, nervous headache, with no gastric or 
bilious symptoms. * Headache from recent exposure to sun, 
[Aeon. *Bell.] * Violent throbbing, pulsating headache, with 
fullness and upward pressure in head, [Bell.] *Undulating 
sensation in head, worse from turning round. Sick, faint- 
like feeling at stomach, with nausea. Head feels loo large. Pal- 
pitation of heart. 

IGNATIA. Boring, sticking pain in forehead, relieved by 
lying down. *Pain as if a nail were driven out through side 
of head, [as if driven in vertex, Nux.] Headache as if 
something hard pressed upon the surface of brain. *Patient 
full of suppressed grief, with empty feeling at pit of stomach. 
Constipation, with prolapsus ani. 

IPECAC. *If nausea and vomiting is the most prominent 
feature, [Verat.] Headache as if the brain and skull were 
bruised even to root of tongue. *Stooping causes vomiting. 
Diarrhoea ; grass-green stools. 

IRIS VERSICO. * Gastric sick-headache, with vomiting 
sweetish mucus, [gastric headache from eating rich, greasy 
food, Ant. Ipe. *Nux. *Puls.] *The headache always begins 
with a blur before the eyes, [see Gel.] Sharp, cutting pains 
in forehead, eyes, and right side. Worse from rest, [Ars. 
Sulph.] Use low dilution. 

LACHESIS. Headache with nausea and drowsiness. Throb- 
bing or beating pains in temples, [Aeon. Arn. *Bell.]. Press- 
ing headache early in morning, worse from stooping. 
*Cannotbear anything tight about the waist. Vertigo, with 
paleness of face. Pain in left ovarian region, [in right, Bell.] 
* Larynx and throat very sensitive. Despondent mood. 
Aggravation after sleep. 



HEADACHE. 153 

1HJX VOMICA. Headache with sour, bitter vomiting. 
Pressing, boring pain, with sensation as if skull would split, 
[Bell. Bry.] # *Stupefying headache, especially in morning, 
aggravated by mental exertion, [Calc. c. Sulph.] * Habitual 
constipation of large, difficult stools, with frequent urging. 
Sedentary or intemperate habits ; troubled with piles. 

PHOSPHORUS. *Dull, stupefying headache, [Calc. c] 
sensation of coldness in cerebellum [in vertex Verat.] * Head- 
ache every other day, [every seventh day. Sang. Sil. Sulph.] 
*Belching large quantities of wind after eating. Very 
sleepy after meals, especially after dinner. *Stools long, 
narrow, hard and very difficult to expel. 

PHOS. ACID. Dreadful pain on top of head, as though 
the brain were crushed, after long-continued grief. *Too 
early and long-continued menstruation, with pain in liver. 
*Sensation as if stomach were being balanced up and down, 
[hanging down relaxed, Arg. n.] Painless diarrhoea; whitish 
stools. 

PHYTOLACCA. *Sick-headache, with pain in back, comes 
on every week. Headache of syphilitic patients, [Merc] Dull, 
heavy headache in forehead, [Calc. c] *Sensation as if brain 
were bruised, when stepping from a high step to ground, 
[Chin. Glon.] Vertigo and dimness of vision. 

PULSATILLA. Headache consequent upon eating rich, 
greasy food, [*Ant. Ipe. Nux.] Tearing, drawing, or stitch- 
ing pains, worse towards evening. * Vertigo, especially when 
stooping or looking up. *Craves cool, fresh air; worse in 
warm room, [Phos. — better in warm room, Cocc. Sil.] Nausea 
and vomiting, with repugnance to food. *Menses too late, 
scanty or suppressed. Chilliness, even in a warm room. She 
weeps and complains, [Ign. Sep.] Very bad taste in morning. 

SANGUINARIA. Sick-headache, with vomiting bile, begins 
in morning, increases during the day; worse from motion, 
stooping, noise or light. * Pains in back part of head, run- 
ning in rays from neck upwards. Severe pains in head, 
especially over right eye, with nausea and vomiting. *Has to 
keep in dark room and lie perfectly still. 

SEPIA. Beating, stitching pains, mostly in forehead or 
temples, [see Laoh.] Also violent pains, as if head would 
burst, extorting cries. *Nausea and vomiting, with a feeling 
of emptiness in stomach. * Dirty yellow appearance of face, 
especially across the no c e. Constipation, with hard knotty 
stool. Very fetid urine, depositing a clay-colored sediment. 
Leucorrhoca between menses. 

SPIGELIA. Periodical headache, [see Ars.] Pains boring, 
pressing, increased by motion, noise, and especially by 
stooping, [Bry.] * Nervous headache, when one or both eyes 
are involved. * Headache commencing every morning with 
rising of sun, gets at its height at noon, when it gradually 
decreases till sun sets, [see Sang.] * Severe pressing and 
sticking pains in eyes, worse during motion. 
7* 



154 THEEAPEUTIC KEY. 

SULPHUR. Pains mostly in forehead and temples, press- 
ing, throbbing or tearing. *Constant heat on top of head, 
[coldness, Sep. *Verat.] *Early morning diarrhoea, driving 
patient out of bed. *Frequent weak, faint spells through 
the day. Suppressed eruptions. Hemorrhoids. * Lean persons 
who walk stooping. 

VERAT. ALB. Nervous headache, [Cham. Coff. Ign.] Vio- 
lent pains, that almost deprive patient of reason. ^Becomes 
very weak and faint, with cold siv eat on forehead. *Coldness 
on top of head, [heat, Graph. *Sulph.] *Vomiting, with 
exhausting diarrhoea, and cold sweat. Nervous headache at 
each menstrual period. Great thirst for cold drinks. 

DIETETICS. In all cases of headache particular atten- 
tion must be given the diet. Avoid the use of tea, coifee, 
and all vinous and fermented liquors. All rich and highly 
seasoned food, fresh bread, sweet cakes, pastry, etc. Eat 
sparingly of meat ; let the diet consist chiefly of vegetables, 
milk, rice, light puddings, ripe fruits, bread made of un- 
bolted flour, and drink plentifully of water. 



HEART, PALPITATION OF. 

THERAPEUTICS. Leading indications. 

ACONITE. Young, plethoric subjects, [Am. BelL] After 
fright , overexertion, or drinking wine, [see Opi.] * Heart 
beats quicker and stronger, with great fear of death. Pal- 
pitation, with a feeling as if boiling water was poured into 
chest, 

ARNICA. * After " straining the heart" from violent run- 
ning. Palpitation after exertion ; goes off by rest. 

ARSENICUM. *Palpitation, with anguish, cannot lie on 
back. Strong, visible, audible beats of heart, worse at night 
and when lying on back. Fainting spells. 

ASAFCETIDA. Nervous palpitation from over-exertion or 
suppression of discharges (in women). 

BELLADONNA. Great anguish about the heart, with con- 
gestion to head. ^Palpitation when at rest, increasing during 
motion. Violent palpitation, reverberating in brain. A kind of 
bubbling sensation at heart when going up-stairs. 

CACTUS Gr. Palpitation, with vertigo, loss of conscious- 
ness, dyspnoea; worse at night, lying on left side, at ap- 
proach of menses, from exertion. ^Sensation of constriction 
in heart, as if an iron hand prevented its normal action. 

CALC. CARB. Tremulous pulsation of heart, worse after 
eating, at night, with anguish. * After suppressed eruptions 
and pimples on face. 

CHINA. Palpitation, with rush of blood to face, and cold 
hands. *Great weakness from loss of vital fluids. 

COCCULUS. Tremulous palpitation from quick motion and 
mental excitement, with dizziness and faintness. 



HEART, PALPITATION OF. 155 

COFPEA. After excessive exaltation. "Palpitation, violent, 
irregular, with trembling of limbs, [Vuls.] *Sleeplessness, 
with agitation of body aud mind. 

DIGITALIS. *Sensation as if heart would stop beating if 
one moved. ^Palpitation excited by talking, motion, or on 
lying down. Short, hurried breathing. 

PERRUM. A nsemic condition. ^Palpitation, better walk- 
ing slowly about. Throbbing in all the blood-vessels. Soft bel- 
lows sound at apex of heart. 

KALI CAS.B. Palpitation in spells, taking away his breath. 
Stitches about the heart, through to scapula. 

LACHESIS. Palpitation and choking from the slightest 
exertion. *Can bear no pressure on throat or chest, must 
sit up or lie on right side. 

KITRIC ACID. When caused by least mental excitement. 
Palpitation and anguish on going up-stairs. 

NUX VOM. After coffee, wines, liquors, spices. Palpitation 
in frequent short paroxysms, with pulsating throbs in direc- 
tion of heart. Tired sensation of heart. 

OPITJM. After alarming events, causing fright, grief, 
Borrow, [Aeon] *Slow, irregular pulse. 

OXALIC ACID. Immediately after lying down at night, 
palpitation for half an hour. *Paiu iii heart like electric 
flashes. 

PHOSPHORUS. Tightness armrs the chest, with dyspnoea 
and great weakness, [Puis.] Palpitation, worse after eating 
or from mental emotion. 

PHOS. ACID. Palpitation in children and young persons 
who grow too fast. After grief or xelf-aba.se. 

PULSATILLA. Young girls during time of puberty, or 
from suppressed menses. * Palpitation in violent parox- 
ysms, often with anguish, obscuration of sight, and trem- 
bling of limbs, [see Coff.] After chagrin, fright, or joy. 

RHUS TCX. Trembling sensation of heart. ♦Palpita- 
tion violent when sitting still. dumbness and lameness of left 
arm. Rheumatic subjects. 

RUMEX. Heart feels as if it suddenly stopped beating, 
[would stop, if he moved, Dig.] followed by a heavy throb- 
bing through the chest. Worse when lying, has to sit up. 

SEPIA. Palpitation after mental emotion. * Wakes up 
with violent beating of heart. Palpitation, with anxiety 
about things which happened years ago. Suppression of 
menses, [see Puis.] 

TABACUM. Palpitation, especially when lying on left 
side, [see Cact.] Lassitude from muscular relaxation ; Cold 
extremities. Compare Peiucoiiditis, Rheumatism, etc. 

GENERAL MEASURES. Persons subject to attacks of 
palpitation should avoid over-exertion of body or mind, 
walking fast, running, ascending long flights of stairs, etc. 

AY hen the trouble arises from gastric disturbance, direct 
the treatment to this atfection. "When the bowels are found 



156 THERAPEUTIC KEY. 

loaded with fecal accumulations, or distended with flatu- 
lence, copious injections of warm water should be given to 
relieve this condition. 

Hot foot-baths. Valuable during an attack, especially if 
excited by uterine disorders or from hysteria. 

DIETETICS. Plain, simple food; moderate exercise in 
open air, regular habits, and frequent ablutions. Avoid 
over-eating, and all stimulating food and drinks, tea, coffee 
and tobacco. 



HEMOBKHOIDS.-PILES. 

THERAPEUTICS. Leading indications. 

ACONITE. Bleeding piles, [Bell. Case. *Ham. Kit. ac] 
Stinging and pressure in the anus. General dryness of the 
skin. *Constant restlessness, inability to keep still. Per- 
sons of a full, plethoric habit. 

JESCITLTJS HIP. Large protruding purple tumors, with 
slight hemorrhage. * Itching, burning pains, with a sense of 
fullness and dryness of anus, [Am. c] *Severe aching 
pains in lumbar and sacral region, with stiffness of back, 
aggravated by walkings Constant backache, affecting the 
sacrum and hips. Topical applications useful. 

ALOES. *Hemorrhoids protruding like grapes, with con- 
stant bearing down in rectum. *Great heat and tenderness 
of the tumors, relieved by cold water, [Apis.] Violent 
tenesmus, with bloody or jelly -like mucous stools. *Fistula 
in ano. Dull, heavy headache, with dull pains in liver. A 
feeling of faintness during and after stool. 

APIS MEL. Hemorrhoids, with stinging, burning and 
smarting pains, relieved by cold water. *Constipation, 
with a sensation in abdomen as if something tight would 
break in voiding the stool. * Enlargement of right ovary, 
and pain in left pectoral region, with cough. 

ARSENICUM. Blind piles, which burn like fire, particu- 
larly at night, hindering sleep. During the day, stinging 
pains, particularly when walking. *Great anguish, rest- 
lessness and fear of death. Much thirst, drinks little and 
often, [Apis.] All worse at night, particularly after midnight. 

BELLADONNA. Bleeding piles, with great tenderness 
and pain from slightest tonch. *Feeling in back as if it 
would break, hindering motion, [Ham.] *Pains appear 
suddenly and cease just as suddenly. Congestion of head, 
with throbbing in temples. *Sleepy, but cannot sleep. 

CALG. CARB. Varices swollen and protruded, emitting 
considerable blood. Burning, pricking in rectum, patient 
cannot remain still. Drawing, cutting pains in rectum, with 
a feeling of painfulness, particularly after stool. *Mcn- 
struation too frequent and too profuse, [Bell.] *Cold, 
damp feet. Vertigo on going up-stairs. 



HEMORRHOIDS.— PILES. 157 

CARBO VEG. Swollen, protruding varices, discharging 
pure blood. *Acrid, corroding humor oozing from rectum, 
emitting a fetid smell, [see Sep.] Tickling, itching and burn- 
ing of the varices. Stools of foul, bloody mucus. *Eructa- 
tions of sour, rancid food, with much flatulence from bowels. 

CAUSTICTJM. Large and painful varices, hindering stool. 
*Stinging and burning of the tumors when touched, intoler- 
able when walking. Weak, scrofulous persons, with yellow 
complexion. Pressure and fullness in the abdomen, as if it 
would burst. 

COLLINSONIA. Blind or bleeding piles, with sensation 
as if gravel or sand had lodged in rectum. Obstinate and 
habitual constipation; stools lumpy and light-colored, with 
dull pain in anus. Dysmenorrhea. Aggravation in even- 
ing, and better in morning. 

DIOSCOREA. Hemorrhoids, like grapes, around the anus, 
not bleeding, [see Aloe.] Involuntary discharge of slimy 
mucus from anus. Darting pain from old hemorrhoidal 
tumor to liver. Black, hard, lumpy stools. 

GRAPHITES. Hemmorrhoids with prolapsus recti. Pain- 
ful burning cracks between the varices. Burning, itching, 
and sticking in rectum. * Prolapsus recti, without straining, 
as if the sphincter were paralyzed. *Chronic constipation 
of hard, difficult, knotty stools. *Unhealthy skin, and erup- 
tions that excrete a sticky fluid. Fissura ani. 

HAMAMELIS. Profusely bleeding hemorrhoids, with burning 
soreness, and at times rawness of anus. *A slight loss of 
blood causes exhaustion, [Hydras.] The back feels as if it 
would break, [Bell.] *Passive hemorrhage from nose, 
stomach, or bowels. 

HYDRASTIS. Even a light hemorrhoidal flow exhausts, 
[Ham.] Constipation, stools lumpy, covered with mucus, 
[Case] Flatulent colic, accompanid by faintness. *Sinking, 
gone feeling in stomach. 

IGNATIA. Hemorrhoids, with violent shooting pains high 
up in rectum. *The tumors prolapse with every stool, and 
have to be replaced, [Rhus. Sep. Sulph.] Soreness of the 
parts as if excoriated. * Bleeding and pain worse when the 
stool is loose. Drawing pain around the pelvis. *Full of 
suppressed grief, with an empty feeling in the stomach. 

KALI CARB. Large, painful varices, with considerable 
protrusion during micturition. Large, difficult stools, as if 
from inactivity of rectum. *The tumors swell and bleed 
during stool, with pricking and burning. *Constipation, 
with distress one or two hours before stool, with colicky, 
stitching pains. 

MURIATIC AC. Large, protruding piles, with burning 
and sore pain. *The tumors are bluish, are extremely sensi- 
tive and painful. ^Violent itching of the parts not relieved by 
scratching. Discbarge of blood with the stool. Prolapsus 
ani during micturition. 



158 THERAPEUTIC KEY. 

NITRIC AC. Bleeding piles, protruding after every stool, 
blood bright-red, not clotted. *Sharp, cutting pain in rectum, 
lasting for hours after an evacuation, and is worse after a 
loose stool. *01d hemorrhoidal tumors, secreting much 
slime, and bleeding profusely after stool. Fissures of the 
anus, [Ars. Graph.] 

NUX VOM. Blind or bleeding piles. [Collin. *SuIph.] 
Burning, pricking pains in tumors. Discharge of light- 
colored blood after stool. Horrid tearing, pressing pains in 
small of back and lower bowels. * Frequent and ineffectual 
urging to stool. * Habitual constipation. Is very irritable, 
and wishes to be alone. Persons of sedentary or intem- 
perate habits, and victims of drugs, nostrums. 

PHOSPHORUS. Bleeding piles, with severe lancinating 
pains. * The blood flows with each stool in a small stream. 
Ulceration of rectum, with discharge of blood and pus, 
*Stools slender, long, tough, and difficult to expel. 

PODOPHYLLUM. ^Hemorrhoids and prolapsus recti dur- 
ing and after confinement. Prolapsus uteri with constipation 
and subinvolution which so frequently protract convalescence 
from child-bed. 

PULSATILLA. Mostly blind piles, with painful pressure 
on the tumors. Stinging, itching in rectum, and soreness of 
anus. *Obstinate constipation, with nauseous, bad taste in 
morning. * Inclination to be chilly. Disposition to weep and 
complain, [Ign. Sep.] *Vertigo on rising from a sitting 
posture. Symptoms all worse towards evening. 

RHUS TOX. Sore blind piles, protruding after every 
stool. Drawing in back from above downwards ; tension and 
pressing in rectum. *Pain in small of back as if bruised, 
relieved by motion. "Worse from getting wet, or by lifting 
heavy loads. Rheumatic diathesis. 

SEPIA. Mostly bleeding piles, with protrusion of tumors 
and rectum during stool. Continual straining pain in rectum, 
with heat, burning, and swelling of anus. Oozing of mois- 
ture from rectum, \corroding and fetid, Carb. v.] *Sense of 
weight or of a ball in anus, not relieved by stool. 

SULPHUR. Blind or bleeding piles. Constant urging to 
stool, which continues after a thin bloody evacuation. *Sting- 
ing, burning, and soreness in and about the anus. Prolapsus 
recti, during stool. Violent stitching pains in back. Burn- 
ing pains in urethra during micturition. * Weak, faint spells, 
especially when standing or walking. *Constant heat on 
top of head. 

AUXILIARY MEASURES. In blind piles, where tumors 
are highly inflamed and painful, hot sitz-baths are the best 
palliatives. In profusely bleeding piles, inject a solution Tr. 
Hamamelis, [ten drops to ounce water] and give same 
strength of remedy internally. These failing, use injections 
of Tannic Acid or Persulphate of Iron [ten grains to ounce 
water] to check hemorrhage. For itching piles, one part 



HERNIA. — RUPTURE. 159 

finely powdered Borax to five parts Vaseline, as an ointment 
will have salutary effect. "Where tumors incline to sup- 
purate apply linseed meal poultices. 

Persons subject to piles, should avoid all vigorous exercise, 
over-lifting, resting on soft cushions, and sedentary habits. 

DIETETICS. Bread from unbolted flour, fruits and vege- 
tables fresh and ripe, with moderate amount of meat. 
Dried fruits, as peaches, apples, prunes, etc., will be found 
the most suitable diet. 



EEENIA-RUPTUItE. 

Hernia is divided, according to locality, into umbilical, 
inguinal, femoral, scrotal, etc. And again, according to con- 
dition, into reducible, irreducible, and strangulated. 

Reducible hernia is where the protruded part can readily 
be replaced. 

Irreducible is applied to that form which, in consequence 
of adhesions or thickening, cannot be reduced, although 
there is no material constriction. 

Strangulated hernia is where the opening that gives pas- 
sage to the protruded intestine is constricted in such a way, 
that the contents of the protruded bowel cannot be propelled 
onwards, and the venous circulation is impeded. 

TREATMENT. The first thing to be done is to reduce 
the hernia. In attempting this, the administration of one of 
the following remedies will afford adequate assistance. Re- 
peat the medicine several time before making any extended 
efforts at reduction. 

ACONITE. Inflammation of parts, with exessive sensibility 
to touch. Bilious vomiting. *Great nervous excitability. 

NUX VOMICA. One of principal remedies. *Strangulated 
hernia. Bruised pain in bowels as if raw and sore. Frequent 
protrusion of inguinal hernia. Nausea, vomiting and constipa- 
tion. 

OPIUM. Redness of face, and slowness of pulse. *Yom- 
iting putrid matter, or faeces and urine, [Plumb.] rain in 
abdomen, as if intestines were cut to pieces. 

PLUMB. MET. Incarcer<ited hernia, [Verat. a.] *Intussus- 
ception, with colic and fecal vomiting, [see Opi.] * Violent 
colic, abdomen drawn in as by a string to spine. Anxiety, 
cold sweat and fainting. 

VERATR. ALB. Incarcerated hernia, not inflamed, anti- 
peristaltic action. Rutin's about bent double, pressing abdo- 
men. *Cold sweat on forehead. 

TAXIS. Use anaesthetic. Place patient upon back, elevate 
hips, flex thigh upon abdomen, and rotate limb inwards. 
Grasp tumor with one hand, and make gentle and steady 
pressure, while with the other hand manipulate neck of 
tumor back into abdomen. Continue this operation for half 



160 THERAPEUTIC KEY. 

an hour or longer, when, if successful, the intestine will 
return with a gurgling noise. 

Dry Cup. A large dry cup, as a quart, measure, or bowl 
applied to abdomen, has proved successful. 

Inversion. Hang patient up by the heels. An assistant 
stooping at bedside, seizes patient's feet, draws them over 
his shoulders, then rising lift s the sick man with head hanging 
down, back to back, carries him about with a jolting motion. 
This method has been very successful, but it too fails at 
times, when only an operation dividing the stricture will save 
the patient's life. 

HERNIA OF INFANTS. Congenital hernia should re- 
ceive early attention. Soon as discovered, a suitable ban- 
dage should be applied over the protruded part and worn 
constantly, while the appropriate homoeopathic remedy 
should be given to complete the cure. 



HEPATITIS. 

THERAPEUTICS. Leading indications. 

ACONITE. Violent inflammatory fever , with stitches in 
liver, intolerable pains driving one to despair. *Great 
restlessness, anxiety, and fear of death. Vertigo on sitting 
up. Headache as if everything would press out of forehead. 
Bitter, bilious vomiting. *Retention of urine, with stitches 
in kidneys. Great nervous excitability. 

ARSENICUM. Region of liver tender and swollen, with 
violent burning pains. Vomiting of brownish or blackish sub- 
stances, [Verat.] Diarrhoea of blackish stools, worse after 
eating or drinking. *Violent thirst, drinking little and 
often. Great restlessness, and fear of death, [Aeon.] Rapid 
prostration of strength. Better from warm drinks. 

BELLADONNA. Acute pain in region of liver, extending 
to chest and shoulder. Tension in region of stomach, [Merc] 
*Tenderness of whole abdomen, aggravated by the least jar. 
"""Congestion of head, with throbbing pains in temples. Al- 
most constant moaning, with starting and jumping during sleep. 
* Delirium, with desire to escape. Cannot bear noise or bright 
light. *Urine yellow as gold. 

BRYONIA. Burning or stitching pains in hypochondria. 
Pain in right shoulder and arm. Yellow-coated tongue, with 
bitter, bilious vomiting. *Lips cracked, parched and dry. 
Splitting headache, [Bell. Merc] ^Sitting up in bed causes 
nausea and faintness. Region of stomach very sensitive. 
*Exceedingly irritable, everything makes him angry, [see 
Nux.] *Hard, dry stools, as if burnt. *Wants to keep 
perfectly quiet. 

CHELIDON. Acute or dull pain, and tenderness in 
region of liver. *Constant pain under lower inner angle of 
rig,ht shoulder-blade. Sallow, jaundiced complexion, 



HEPATITIS. 161 

[*Merc] *Stools like sheep's dung:, or soft and bright 
yellow. Urine scanty, deep yellow, sour. 

CHINA. Headache, bitter taste, yellow skin. Pain in he- 
patic region, as if from subcutaneous ulceration, [Lach.] 
Swollen, hard liver, [Agar.] *Colic from gall stones, [Lye. 
Merc. Nux.] * Abdomen feels full and tight, as if stuffed. 

HYDRASTIS. * Torpor of liver, with pale, scanty stools. 
Jaundice, With catarrh of stomach and duodenum. * Gone- 
ness and faintness in stomach, general prostration. 

LEPTANDRA. Aching pains in liver. Yellow-coated 
tongue. * Black, profuse, papescent, tar-like, very fetid 
stools, generally in afternoon or evening. Dark-brown 
urine, [Bry.] Constant dull pain in region of gall-bladder, 
[*Phyto.] *Jaundice. 

MERCURIUS. Threatened formation of abscess. Inability 
to lie on right side, [Puis.] ^Inflammation, with great 
tenderness of liver to contact, and jaundice-like appearance 
of skin. *When coughing or sneezing, a stitch runs 
directly through the chest to back. *Much perspiration 
affording no relief, Green, bilious, or frothy stools, with 
frequent urgings and tenesmus. Bilious vomiting. 

LACHESIS. Acute pain in liver, extending towards 
stomach. Pain as if something had lodged in right side, 
with stinging. *Cannot bear any pressure about hypo- 
chondria. Suitable after ague, and to drunkards, [see Nux.] 

NUX VOM. Stitching or throbbing pains in liver, with 
great tenderness to contact, [Bell.] *Sour or bitter taste in 
mouth, with bilious vomiting. Shortness of breath, and 
sense of pressure under the ribs. "^Splitting headache, [see 
Bry.] Habitual constipation, large, difficult stools. *0an- 
not sleep after 3 A. m., [cannot sleep before 3 a. m., Merc ] 
Persons of sedentary or intemperate habits. 

PODOPHYLLUM. Torpidity of liver, with fullness and 
pain, [see Hydras] Nausea and bilious vomiting. *The 
patient is constantly rubbing and shaking the hypochondriac 
region. Bitter taste and risings in mouth. ^Painless 
morning diarrhoea, [Sulph ] 

PULSATILLA. Yellow-coated tongue and bitter taste. 
Frequent attacks of anguish, especially at night. Nausea 
and desire to vomit. *Green, slimy diarrhoea, usually at 
night. *Chilliness, even in a warm room, with vertigo 
when rising from a sitting posture. Weeps and complaijis, 
[Ign. Sep.] Frequent urging to urinate, with cutting pain. 
Symptoms all worse towards evening. 

SILICEA. Hardness and distension of region of liver. 
Throbbing, ulcerative pain, increased by contact and 
motion. *Formation of abscess, [Hep.] *Constipation; 
stool recedes after having been partially expelled. * Lym- 
phatic swellings, with inclination to suppurate. 

SULPHUR. Mostly chronic hepatitis. Swelling and 
hardness of liver, [Chin] Beating, stitching pains and 



162 THERAPEUTIC KEY. 

pressure in liver. *Frequent weak, faint spells, with 
flashes of heat. ^Constant heat on top of head. Con- 
stipation, or early morniug diarrhoea. *Drowsy during the 
day, wakeful at night. 

Hepatic ABSCESS requires: Bell. *Bry. *Hep. Lach. 
*Merc. Phos. Sil. Sulph. Therid. 

For ENLARGEMENT, or induration of the liver: Agar. 
Ars. Calc. c. *Chin. Nux v. Sulph. 

AUXILIARY MEASURES. Use hot fomentations or poul- 
tices to relieve pain and soreness. Should an abscess form, 
and the presence of pus be reasonably suspected, it will be 
advisable to draw it off through the needle of an aspirator. 

DIETETICS. Light diet, vegetable broths, gruels, rice, 
oatmeal mush, farina, corn-starch puddings, roasted apples, 
plenty of water. Abstain from use of meat, fatty and sac- 
charine substances, and all stimulants. 



HEPATIC COLIC-GALL-STONE COLIC. 

Hepatic colic is characterized by severe pain in region of 
liver, chiefly about the gall-bladder occasioned by the passage 
of a biliary calculus through the cystic and choledoc ducts. 
The attack usually comes on suddenly, and the pain ceases 
soon as the stone gets out of the duct. 

THERAPEUTIC AGENTS. 

BELLADONNA. Region of liver painful and sore. *Violent 
pain, goes to shoulder and neck, can tolerate no pressure or 
jar. Worse lying on right side. 

CALCAMA CARB. Stitches and pressure in hepatic region, 
*Feeling of great tightness in hypochondria as if laced. 
This remedy is highly commended by Hughs and others. 

CHINA. Never fails to correct the tendency to formation 
of gall-stones. — Thayer. 

NUX VOMICA. Throbbing as if from formation of abscess. 
^Cutting, cramping pains with desire to vomit. Jaundiced 
condition, fainting turns. One of best remedies to relieve 
the pain. 

COLOCYNTH. *Violent cutting, tearing pain, compelling 
patient to bend double, [has to bend backwards, Bell.] If 
arising from indignation. 

AUXILIARY MEASURES. Hot fomentations, or bags of 
hot salt applied to painful part will often give relief. Placing 
patient in hot bath (100° to 110°) is also beneficial. The 
giving of three or four ounces of warm Olive-oil soon as pain 
appears, recommended by some, is worthy of trial. Failing 
to relieve the excruciating pain by these means, resource 
should be had to the inhalation of Chloroform, or subcuta- 
neous injections of Morphia (one-eighth to one-quarter of a 
grain) in the arm, every two hours, until relief is obtained. 



HERPES.— TETTER. 163 

HEBPES.— TETTER. 

THERAPEUTICS. Leading indications. 

For HERPES Circinatus: Calc. *Lith. c. Nat. c. *Phyto. 
*Sep. 

For HERPES Facialis: Ars. Calc. Graph. Ledum. Sars. 

For HERPES Genitalium: *Dulc. *Petro. *Phos. ac. Rhus 
t *Tellu. 

For HERPES Zoster: Iris. *Merc Rhus t. Sili. Thuy. 

ACONITE. Acute cases, with febrile excitement. Large 
red itching pimples, filled with acrid fluid. The disease 
mostly shows itself on the forehead or temples. 

APIS MEL. Eruptions which usually come out in cold 
weather. *Small pustules, with burning, smarting, stinging, 
and which form dry, scaly, laminated, brownish scabs. Worse 
from warm, better from cold applications. 

ARSENICUM. *Confluent herpetic eruptions, with intense 
burning, [see Merc] Chronic dry skin. *Cannot sleep after 
midnight. Worse from cold, better from warmth, [reverse, 
Apis.] Herpes having a red unwholesome appearance. 

BOVISTA. Moist or dry herpes, itching on getting warm, 
continues after scratching. *Red scabby eruption on thighs 
and bends of knees, appear in hot weather and with full 
moon. Tetter on back of hands. 

CALC. CARB. Herpes circinatus (ringworm), with moist 
eruption, itching violently. * Unhealthy, ulcerative skin, 
[Graph. Hep. Sulph.] Scrofulous diathesis. *Cold, damp feet. 

CICUTA. Herpes, especially on face, confluent burning, 
suppurating, [Ars.] * Burning, suppurating eruptions on 
and around the ears, and hairy scalp. 

CLEMATIS. *Scaly herpetic eruptions, with yellowish, 
corrosive ichor. Chronic, red, humid herpes, with intolerable 
itching from warmth of bed, and after washing. *The 
herpes is red and humid with the increasing, but pale and 
dry with the decreasing moon. 

CROTON TIG. Vesicular eruption, with burning, sting- 
ing, and redness of the skin. Herpetic eruption on scrotum, 
[see Petro.] Itching, followed by painful burning. 

DULCAMARA. Herpes moist, suppurating, [Lye. Mere Sep.] 
*Thick crusts over the whole body, burning, itching. *Tet- 
ter oozing watery fluid, [see Graph.] Bleeding after 
scratching. 

GRAPHITES. Rawness in bend of limbs, groins, neck, 
behind ears, especially in children, *The eruption discharges 
& stick?/, glutinous Jiuid, [see Petro.] Unhealthy skin, every 
little injury suppurates, [Hep. Sulph.] Herpes in females, 
with scanty menses. Herpes zoster. 

LEDUM. * Dry, scaly tetter in the face, burning in open 
air. Crusty eruption around mouth and nose, with itching, 
smarting, and burning. *Want of animal heat. 

MERCURIUS. Herpetic spots and suppurating pustules, 



164 THERAPEUTIC KEY. 

sometimes running together, forming dry, scaly spots or 
crusts, with acrid discharge. *Herpes of the genitals, 
[Petro. Phos. ac] Zona, like a girdle, from back around 
abdomen, itchjng and tendency to suppurate. 

MEZEEEUM. Herpes zoster, with severe neuralgic pains, 
[Ran. b. Zinc] The vesicles form brownish scabs, and 
itch violently. Chilly even in warm room. 

NATRUMMUR. Herpes labialis during fever. *Moist 
oozing eruptions in bends of arms and knees, [Graph.] 
*Skin of hands, especially about nails, dry, cracked. 

PETROLEUM. * Tetter, especially on genitals, moist, 
oozing, itching, [Dulc] Itching herpes, followed by ulcers. 
Worse in open air when perspiring, better from warmth. 

PHOSPHORUS. Dry tetter, [Ars. Bov. Sulph.] Vesicles 
confluent and appear in clusters. Brown-colored blisters 
between the fingers and toes. *Long, slender, hard stools, 
difficult to expel. Lean, slender persons ; very sensitive to cold. 

RANUN. BUL. Vesicular eruptions as if from burns. 
Shingles, with intercostal neuralgia, [see Mez.] Blister- 
like eruptions in palms of hands. 

RHUS TOX. Confluent vesicles, containing a milky or 
watery fluid. *Herpetic eruptions, alternating with pains 
in chest and dysenteric stools. *The eruption is attended 
with incessant itching, burning, and tingling. Shingles, 

SARSAPARILLA. Herpetic ulcers, extending in a circu- 
lar form without crusts, red granulated bases, white 
borders. The eruption discharges a reddish secretion. 

SEPIA. Itching, burning, humid tetter, [Dul. Graph. 
Merc] *Herpes circinnatus, (ringworm). Humid places 
in bends of elbows and knees, [Graph. Nat. m.] The itch- 
ing is made worse by scratching. Females with uterine 
difficulties. 

SULPHUR. Herpes, with great itching, burning, and 
soreness after scratching. *Dry, scabby, scurfy tetter, [see 
Phos ] Unhealthy skin, every little injury suppurates. 
Aversion to water and cold air, 

TELLURIUM. Herpes filled with a watery, excoriating 
fluid, smelling like fish-brine. *Ringwornis all over the 
body, more distinct on lower limbs. 

THUYA. Herpes zoster, [see Merc] *White, scaly, dry, 
mealy tetter, [see Sulph.] Eruption only on covered parts, 
burn violently after scratching. Worse from cold water, 
from heat of bed at night. 

ZINCUM. Dry tetter over the whole body. * Herpes 
zoster, followed by neuralgia, [see Mez.] Violent itching, 
especially in bends of joints. *Fidgety feet. 

LOCAL MEASURES. To allay the itching, which is 
often very annoying, a little Vaseline, or equal parts of 
(Jlycerine and Bose-waterm&y be applied to the affected parts. 

DiETETlCS. Persons subject to this affection should 



HOARSENESS. 165 

avoid fatty, rich and indigestible food. The diet should 
consist chiefly of vegetables, a little meat, bread made of 
unbolted flour, milk, plenty of water, ripe fruits, etc. Pay 
strict attention to cleanliness, bathing, exercise, regular 
habits, sleep on hard beds, and in well ventilated apartments. 



HOARSENESS. 

THERAPEUTICS. Leading indications, 

ACONITE. After exposure to dry, cold winds, [Hepar.] 
*Hoarse, croaking voice, like croup, Larynx sensitive to 
touch, [Phos.] Child grasps its throat when it coughs. 

ALUMINA. Rawness in larynx on awaking. Sudden com- 
plete aphonia. *Hoarseness evening and night, especially 
towards morning. Voice husky, with nasal twang. 

AMM. CARB. Hoarseness, cannot speak a loud word, 
[Phos.] Great dryness in larynx, [Bell.] Hoarseness worse 
from speaking. Burning in chest, [Calc. c. Merc] 

BELLADONNA. * Hoarseness with rough voice. Talking is 
very difficult; has to speak in a piping voice. Larynx dry 
and sensitive to touch. *Sore throat. 

CALC. CARB. * Paitilcss hoarseness, is unable to speak, 
especially early in morning. Chronic hoarseness, [Carb. v.] 
*Cold damp feet. Scrofulous diathesis. 

CARBO VEGr. *Long-lasting hoarseness, worse from talk- 
ing, and in evening, [worse in morning, Caust. Phos.] 
Hoarseness after measles, [see Dros.] Chronic hoarseness, worse 
from damp evening air. 

CATJSTICTJM. * Hoarseness and roughness of throat early 
in morning. Burning and roughness in throat, with hoarseness. 
Great dryness of the larynx. 

CHAMOMILLA. * Catarrhal hoarseness of trachea, with 
dryness of eyelids, [see Dulc] Hoarseness or loss of voice 
in children, with rough cough. Tough mucus in larynx, which 
can only be removed by strong hawking. 

DROSERA. Deep, hollow, hoarse voice, requiring great 
efforts to speak. *Rough, scraping feeling of dryness in 
fauces. Hoarseness after measles, [Cham. Dulc] 

DULCAMARA. Rough, hoarse voice after taking cold, 
[Cham. Merc. Puis.] * Hoarseness after measles, [after croup, 
Hep. Phos.] Worse from every cold change in weather. 

GELSEMITJM. Hoarse i?i paroxysms, with dry, rough throat. 
*Throat feels as if filled up, [Sili.] Catarrh, with rawness of 
chest. Croupy cough. 

HEPAR SITLPH. Hoarseness and roughness in throat, 
[Caust.] *Larynx very sensitive to cold air. Hoarseness 
after croup, [Lye. Phos.] Rough, barking cough. 

KALI CARB. Aphonia, with violent sneezing. *Scraping, 
dryness, and parched feeling in larynx. Stitching pains in the 
chest, left side, with dry cough. 



166 THERAPEUTIC KEY. 

LYCOPOD. Hoarseness, with feeble, husky voice. Dry- 
ness in windpipe. Hoarseness remaining after croup, [see 
Hepar.] Loose cough by day, suffocative spells at night. 
*Eanlike motion of alae nasi. 

MERCURIUS. Catarrhal hoarseness, [see Cham.] Burning, 
rawness in larynx. *Fluent coryza and sore throat. Pro- 
fuse sweating, without relief. 

NUX VOM. *Hoarseness, with roughness and scraping 
in throat, [Dros.] Spasmodic constriction of larynx after 
midnight ; suffocating spells, [see Lye.] 

PHOSPHORUS. Hoarseness, with cough and rawness in 
larynx and bronchiae, worse in evening. ^Hoarseness, with 
complete loss of voice, [Bell. Merc. Sulph.] Larynx feels as 
if lined ivith fur. Cannot talk on account of pain in larynx. 

PHYTOLACCA. Hoarseness and aphonia. Dryness of 
larynx and trachea, worse towards evening. Burning in air- 
passages, with sensation of contraction of glottis. 

PTJLSATLLLA. Hoarseness and roughness of throat, can- 
not speak aloud, [Caust. Phos.] *Loss of smell, with catarrh. 
Worse towards evening. 

RHUS TOX. Hoarseness of singers, or from overstraining 
voice, [Am. Arum t. Phos.] Throat feels stiff. Roughness 
in larynx, with roughuess and soreness in chest. 

SULPHUR. Voice rough, hoarse, with mucus on chest. 
Aphonia, [Bell. Caust. Phos.] Talking fatigues and excites 
the pain. Shooting pains through left chest to back. 



HOOPING-COTJGH.-PERTTJSSIS. 

THERAPEUTICS. Leading indications. 

ACONITE.- If a constant febrile condition prevails, and 
when at the commencement the cough is dry, whistling, with 
soreness of throat. *The child grasps at its throat with 
every cough, as if it were in pain. *Great anguish, rest- 
lessness and anxiety. 

AMBRA GRIS. Severe paroxysms of hollow-sounding 
cough, worse morning and evening and during the night; 
Oppression and rapid respiration. Expectoration of large 
quantities of tough, grayish, or yellow mucus, especially in 
the morning. 

ANACAR. When fits of anger cause the cough, and when 
children are very ill-natured, [Cham.] Difficulty of breath- 
ing accompanies and succeeds the coughing spells. Child- 
ren with uncontrollable tempers. 

ARNICA. Left cheek swollen and red, with heat in the 
head and coldness of the body. *Every coughing spell is 
preceded by crying, [Tart, e.— cries after couging, Bell.] 
Feels sore all over, as if bruised. Bleeding from the nose, 
[*Bell.] 

ARSENICUM. Suffocative, dry cough, with scanty or 



HOOPING-COUGH.— PERTUSSIS. 167 

suppressed urine. *Great prostration, with waxy paleness 
and coldness of skin. ^Intense thirst, drinks little and often. 
*Feels better in a warm room. Aggravation at night, par- 
ticularly after midnight. 

BELLADONNA. Frequent paroxysms, worse in night, 
hard and barking, like croup. *The child gets very red in 
face with every coughing spell, [gets blue, Coral, r. *Ipe.] 
*Eyes swollen, and sclerotica injected with blood. Bleeding 
of nose. In beginning, or when disease has attained a high, 
degree of severity. 

BRYONIA. Paroxysms set in principally in evening or at 
night, or after eating or drinking, with vomiting. *Cough, 
with expectoration of brownish phlegm, with stitches 
through chest, [Aeon. Bell.] *Dry, hard stools, as if burnt. 
Exceedingly irritable, everything makes him angry. Lips 
parched, dry, and cracked. 

CHAMOMILLA. Dry cough, worse at night, or in cold 
air. *Child very fretful, must be carried all the time. *One 
cheek red and hot, the other pale and cold, [Aeon.] Green, 
watery, corroding stools, smelling like bad eggs. *\Varm 
sweat about the head. 

CINA. *During pnroxysm, child suddenly becomes stiff, 
[and blue in face, Ipe.] After paroxysm, there is a gurgling 
noise from throat to abdomen. Cough aggravated by run- 
ning, talking, laughing, etc. * Paleness of face and blue- 
ness around mouth and eyes. Spasms, with jerking and 
twisting of muscles. *Much picking of nose and other worm 
symptoms. 

COCCUS CACTI. Nightly, periodical attacks of cough, 
from tickling in larynx. Every coughing spell ends with 
expectoration of large quantities of viscid, stringy mucus, 
[Kali b.] Cough worse on first leaking. 

CORAL. RUB. Spasms of cough, so violent that child loses 
its breath and turns purple and black in face, [see Ipe.] 
*Takes very little food or drink. Spasmodic, convulsive 
cough. Head feels too large. 

CUPRUM. Violent and long-continued paroxysms of 
cough, completely exhausting patient. *During attack child 
becomes rigid, turns black in face, and seems as if dead, 
[Coral, r.] Vomiting after paroxysm, and rattling of mucus 
in chest between attacks. 

DROSERA. The paroxysm is extremely violent, with 
chills and fever. * Violent spasmodic cough, threatening 
suffocation, [Hepar.] * Worse, particularly after twelve at. 
night. Vomiting food or mucus, and bleeding from the mouth 
and nose, [Bry] 

HEPAR SULPH. Dry, spasmodic cough, with soreness of 
larynx, worse towards morning. *Cough sounds croup j r , 
ami it seems as if patient would choke. Rattling, choking 
cough, worse after midnight. *Cannot bear to be uncovered, 
coughs when any part of body is expos 



168 THERAPEUTIC KEY. 

IPECAC. ^Suffocative cough; the child becomes stiff 
and blue in the face, [Coral, r. Cup.] *The chest seems full 
of phlegm, but does not yield to coughing, [Tart, e.] The 
cough causes gagging and vomiting phlegm 

KALI BICHRO. Violent rattling cough, lasting some 
minutes, with an effort to vomit. *Choking cough, with 
expectoration of viscid mucus, which can be drawn out in 
long strings. Burning pain in trachea. 

MEPHITIS. Spasmodic, hollow or deep cough, with hoarse- 
ness and pain in chest. *Inhalaticn difficult, exhalation 
almost impossible. Vomits all food some liours after eating. 
Worse at night and after lying down. 

MERCTJRIUS. Cough only at night, or only by day. 
*Two paroxysms succeed each other closely, and are separ- 
ated from next two by an interval of perfect rest. During 
vomiting patient bleeds at nose and mouth, [see Nux v.] 
*Profuse sweat at night, with nervous agitation. 

NAPHTHALINE Violent spasmodic cough, the paroxysms 
lasting a long time. This remedy in 3 X dec, trit., is regarded 
by some as almost specific for whooping-cough. 

NUX VOMICA. Hard, dry cough, worse in morning. 
*Child has choking spells, becomes blue in face, bleeds at 
nose and mouth. Gagging, vomiting and constipation. 
During paroxysm, pain in umbilical region, as if it would 
be torn to pieces. After nostrums and cough mixtures. 

PULSATILLA. Cough from beginning, with profuse ex- 
pectoration. Frequent vomiting mucus or ingesta, [*Ipe.] 
Diarrhoea, especially at night. *Chilliness even in a warm 
room, and vertigo on rising from a seat. Mild, tearful per- 
sons, with blue eyes, blonde hair. 

SQTJILLA. During cough child sneezes, waters at nose 
and eyes. ^Constant rubbing of nose, face and eyes during 
cough. Cough excited by cold drinks and from exertion, 
[relieved hy cold drinks ■, Cup.] 

TART. EM. Cough preceded by crying, or occurs after 
eating or drinking or when getting warm in bed. *Rattling 
cough, bronchial tubes seem full of mucus, but none is ex- 
pectorated, [Ipe.] *Nausea and vomiting large quantities 
of mucus, with cold sweat on forehead. 

VERAT. ALB. Convulsive stage; worse spring and fall. 
* After every coughing spell child falls over exhausted ; cold 
sweat on forehead. Vomiting tough, thin mucus, and invol- 
untary discharge of urine. Attacks occur on entering a 
warm room, or from drinking cold water, [see Squil.] 

GENERAL MEASURES. Patients should take moderate 
exercise in open air ; sleep in well ventilated apartments ; 
live on plain, simple food; take frequent tepid baths, and 
conform to regular habits in all respects. 



HYDROCELE. 169 

HYDROCELE. 

.Hydrocele is a term applied to a collection cf serous fluid 
in the areola texture of the scrotum or in some of the cover- 
ings, either of the testicles or spermatic cords. 

The disease may be distinguished from hernia : By increase 
of tumor from below upwards; by semi-transparency of 
tumor; by fluctuation ; by smoothness of surface ; by absence 
of cough impulse ; absence of pain and history of case. 

The disease can, in most cases, be cured by internal medi- 
cation, if it has not been neglected too long. 

THERAPEUTICS. Leading remedies. 

ARNICA. When caused from mechanical injuries or contu- 
sion, [Con. Puis.] *Involuntary urination during sleep. Sore 
all over. 

CALCARIA CARB. * Scrofulous diathesis, [Iodi.] Loss 
of appetite, debility, emaciation, dryness of skin. *Cold 
damp feet. 

CONIUM. Particularly suitable if caused by mechanicnl 
injuries or contusion, [see Am.] Bad effects from excessive 
sexual indulgence. 

DIGITALIS. * Hydrocele with swelling of testicles. Ir- 
regular heart action. One of best remedies in this affection. 

GRAPHITES. Hydrocele, [left side] with herpetic erup- 
tions on scrotum. Dropsical swelling of prepuce and scrotum. 

IODINE. Scrofulous habit, glandular swellings, painless 
swelling of testicles, with offensive sweat. 

RHODODENDRON. A valuable remedy in hydrocele. Has 
proved curative in cases of long standing where there was 
no disease of testes. 

PALLIATIVE TREATMENT. This consists in evacuating 
contents of sac, with a trocar. Grasp tumor from behind, 
[patient in erect posture], and plunge the trocar into sac, 
pointing the instrument upwards and backwards, to avoid 
wounding testicle. The trocar being withdrawn, the canula 
remains for fluid to make its escape through. 

Radical Method. Evacuate fluid as above described, and 
then inject into the sac through canula a teaspoonful Tr. 
Iodine, allowing it to remain with a view of establishing adhe- 
sions. Others use Carbolic acid, [20 to 30 drops] as an injec- 
tion, and claim for it superior success. 

Treatment by Seton. Draw off fluid through canula, insert 
trocar again, and push it up and out through scrotum above. 
Now withdraw the trocar and pass a ligature through canula ; 
this done, remove canula and make fast the ligature. Let 
remain in until suppuration takes place. 
8 



170 THERAPEUTIC KEY. 

HYDROCEPHALUS. 

THERAPEUTICS. Leading indications. 

ACONITE. In first stage of irritation. ^Intolerance of 
light and noise, [*Bell.] *Great fear and anxiety, with ner- 
vous excitability. *The child is sleepless, restless, cries 
much, bites its fist, and has a green, watery diarrhoea. 

APIS MEL. High fever, with delirium. Sleep interrupted 
by sudden shrill cries. *Boring head into pillow, [Bell.] 
*Squinting, grinding teeth. *Twitching on one side, while 
other is paralyzed. Profuse perspiration on head, of musk- 
like odor, [Sulph.] Scanty emissions of urine. 

APOCYNUM. Sutures open, [fontanelles, *Calc. c. Sulph.] 
Forehead projecting. Sight of one eye totally lost, the other 
slightly sensible. 'Stupor. Constant involuntary motion of 
one leg and arm, [see Hell.] Urine suppressed. 

ARTEMISIA. Convulsions of right side, and paralysis of 
left. Body cold all over. Sopor, yet drinking and swallow- 
ing eagerly. Face pale, has oldish look, [Arg. n. Opi.] In- 
voluntary stools, which are greenish and thin. 

BELLADONNA. Face flushed, eyes injected, [Aeon.] Pu- 
pils contracted or dilated, [Hell. Hyos. Opi.] Boring head in 
pillow, rolling eyes, squinting, [Apis.] * Throbbing of caro- 
tids. *Sudden starting and jumping during sleep. Invol- 
untary emissions of urine. Great intolerance of light or noise. 

BRYONIA. Manifest signs of effusion, [Dig. Hell.] Dark, 
flushed face, dry and parched lips. Tongue coated with a 
dark-yellowish fur. *Frequent motion of the jaws, as if 
chewing, [Hell.] *Cannot sit up on account of nausea and 
faintness. *Hard, dry stools, as if burnt. Scanty, hoi, red 
urine. Exceedingly irritable. 

CALC. CAEB. Scrofulous diathesis. *Large head, with 
open fontanelles, [Calc. phos. Sulph.] *Profuse perspiration 
on head when sleeping. ^Emaciation, with good appetite. 
Painful and difficult urination, urine having a strong, fetid 
odor. 

CALC. PHOS. Hydrocephaloid condition. *Delayed closure, 
or reopening of fontanelles, [see Calc. c] Bones of skull soft 
and thin. Screaming, grasping the head with hands. Can- 
not hold the head up, it totters. Squinting, and distortion of 
eyeballs, [*Apis.] Cold sweat on the face. 

CINA. Child seems frightened, jumps out of bed, sees 
imaginary objects, screams, trembles, and talks hurriedly. 
*Cannot bear to be touched or looked at. Turning the head 
from side to side. ^Picking and boring at the nose, [Hell.] 
Twitching and trembling of body. 

CUPRUM MET. Metastasis during catarrhal fever, difficult 
dentition,, or exanthematic diseases, [metastasis of measles, 
*Puls.] *Stage of exudation, [Bry. Hell.] Eyes red, balls 
constantly rotating. Squinting, [Apis. Hell.] Cannot hold 
the head up t Great irregularity of pulse. 



HYDROCEPHALUS. 171 

HELLEBORUS. After exudation has taken place, [Bry.] 
Rolling the head, [Hyos.] * Automatic motions of one arm 
and one leg. ^Soporous sleep, with screaming and starting. 
*Lower jaw sinking down, [Opi.] Chewing motion of the 
mouth. Squinting, pupils dilated, [contracted, Zinc] Fore- 
head drawn in folds, and covered with cold sweat. Vomiting 
green or blackish substances. 

HYOSCYAMUS. Cries out suddenly, [Apis. Bell.] Eyes 
red, starting, rolling about in orbits, [Cup.] Squinting and 
grinding of teeth, [Apis.] Eyes protruding, [Bell. Calc. 
phos. Stram.] Frothing at mouth, impeded deglutition. 

MERCURIUS. Precocious mental development, [Bell.] 
Large head, sutures open, [see Calc] *Fetid, sour smell- 
ing, oily sweat on head. ^Scorbutic condition of gums. 
Body bathed in sweat 

OPIUM. *Extreme drowsiness, and coma, with stertorous 
breathing. Face purplish and swollen, [crimson-red. Bell.] 
^Screaming before or during spasm. Dilated pupils, and 
general symptoms of paralysis of brain, [Zinc] 

STRAMONIUM. Convulsive motions of head. Sensation 
of lightness in head, causing patient to frequently raise it 
up. *A\vakens with a shrinking look, as if afraid of first, 
object seen. * Loquacious delirium, with a desire to escape. 
No thirst, although mouth is very dry. *Light of brilliant 
objects and contact renew the spasms. Black fluid stools. 

SULPHUR. Heaviness of head, sinking involuntarily 
backwards. Sweat on head, with musk-like smell, [Apis.] 
Sour smell from mouth. * Drowsiness in daytime, wakeful- 
ness at night. Scrofulous diathesis; dry, husky, scaly 
skin. * After suppressed or dried-up eruptions on head, 
and other parts. 

ZINCUM. Impending paralysis of brain. Frequent jerking 
of whole body, and crying out during sleep. When 
awakened, expresses fear and rolls the head, [see Hell.] 
*Constant trembling of hands, with cold extremities, 
[Stram.] Gagging and vomiting, with a voracious ap- 
petite. 

PROPHYLACTIC MEASURES. In all cases where there 
is a predisposition to the disease, Calc". phos. should be ad- 
ministered and its action kept up for months. The child 
should be tenderly cared for, and every precaution taken to 
maintain its general health. It should be kept in the free 
open air much as possible, all mental excitement avoided and 
due attention paid to the development of its physical 
strength. 

AUXILIARY MEASURES. During an attack, cold appli- 
cations to the head is commended by some. A sponge cap, 
made by sewing thin pieces of sponge together and covering 
it with oiled silk, is saturated with cold water and placed 
over the head. A yum bag, partially filled with pounded ice, 



172 THERAPEUTIC KEY. 

and applied to the head, also beneficial. Keep extremities 
warm by jugs of hot water. Drawing off the water with 
Aspirator has been successful. 



HYSTERIA. 

THERAPEUTICS. Leading indications, 

ACONITE. *Great and distressing fear of death, [Ars.] 
She dreads too much activity about her, and fears to go into 
crowds. * Anxiety, restlessness and tossing about. Vertigo 
on raising head after stooping or lying down. 

ANACARDIUM. * Great weakness or loss of memory, [Arg\ 
n. Calc] Sadness, looks on anxious side of everything. 
* Irresistible desire to curse and swear, [Lil. tig".] Feels as 
if she had two wills, one commanding to do what the other 
forbids. *Gastric and nervous headache. 

ARSENICUM. * Hysterical asthma at every little excite- 
ment, worse latter part of night. Cannot lie down for fear 
of suffocation. *Dread of death when alone or on going to 
bed, [desires death, Aur. Bell.] Great anxiety and restless- 
ness. Wants to be in a warm room. 

ASAF(ETIDA. Fits of great joy, with occasional bursts 
of laughter. Apprehensions of dying. ^Hysterical spasms, 
oesophagus being chiefly affected. ^Sensation of a ball rising in 
throat, [Lach. Mosch. Sene.] Soreness in oesophagus. 
*Nervous palpitation, with small pulse. Colic, with rumbling 
in abdomen. 

AURUM. *Suicidal mood, with longing for death, [Lach. 
Puis.] Full of fear, a mere noise makes her anxious. Al- 
ternately peevish and cheerful. *Fine eruption on lips, face, 
and forehead. Hysterical spasms, with alternate laughter 
and crying, [see Ign.] Great nervous weakness. 

BELLADONNA. Remembers things long gone by, [reverse, 
see Anac] ^Confusion of head, aggravated by movement. 
Weary of life, with desire to drown herself, [see Aur.] 
*i\Ioaning at night, even without much sleep. Sleepy, but 
cannot sleep, [Lach. Opi.] Bright sparks before the eyes. 

BROMITJM. * Great depression of spirits, [Calc. c. Puis. 
Sulph..] Constriction of chest, with anxious feeling about 
heart. Trembling all over, [Puis.] Tickling, itching, prick- 
ing, and stitches in skin at various places. Light hair, blue 
eyes. 

CACTUS GRAND. Cries, knows not why; is very sad. 
*Constriction of throat, exciting a constant desire to swal- 
low. Feeling as of a cord drawn tightlg around lower part of 
chest, [Ars.] Palpitation of heart, worse when lying on left 
side, or when walking. 

CALC. CARB. Sadness and irresistible inclination to weep, 
[see Puis.] *Fears she will lose her reason, or that people 
will observe her state of mind. Great anxiety and palpita- 



HYSTERIA. 173 

tion of heart, worse as evening approaches. Coldness in or 
on the head, [Verat.] Weak digestion. *Cold damp feet. 

CATJLOPHYL. Swimming, or sort of vertigo, with dimness 
of sight. Severe pains by spells in the temples as if they 
would be crushed together. * Hysterical convulsions during 
dysmenorrhea. Dependent upon uterine derangement. 

COCCTJLUS. Thoughts fixed on one unpleasant subject, is 
absorbed and observes nothing about her. *Contractive 
sensation in trachea, as if irritated by smoke, inducing 
cough. *Nervous palpitation of heart, [see Asaf.] Paralytic 
immobility of lower limbs. 

CONITJM. Easily disturbed by trifles, or moved to tears. 
Aversion to man, yet averse to being alone, [see Lye] 
* Vertigo, worse when lying down or turning in bed. Globus 
hystericus, [Asaf. Lach. Mosch ] * During micturition the 
flow intermits. 

GELSEMIUM. Excessive irritability of mind and body, 
with vascular excitement. *Hysterical convulsions, with 
spasms of glottis. Wild feeling in head, alternating with 
uterine pains. Dysmenorrhea of a neuralgic character. 

HYOSCYAMUS. She indulges in much silly laughter and 
many foolish actions. * Jerking and twitching of muscles 
during spasms. *She is disposed to uncover herself and go 
naked. Constriction of throat, with impeded deglutition, [see 
Ign.] *Nocturnal dry cough. 

IGNATIA. * Sadness and sighing, with an empty feeling 
at pit of stomach. Full of grief, [Phos. ac. Puis.] *Choking 
sensation from stomach up to throat. Grumbling in abdomen. 
*Single startings of limbs when going to sleep. 

LACHESIS. Talks, sings, whistles, and makes odd motions. 
Suicidal mood, tired of life, [Aur.] Sensation of a lump in 
throat; on swallowing it descends, but returns at once. 
*Cannot bear throat to bo touched, seems as if it would suf- 
focate her. Greatly distressed after sleeping. *Climacteric 
period, [see Ther.] 

MOSCHTJS. Great anxiety, with palpitation of heart. 
Great inclination to scold. Talks continually of her approaching 
death. * Hysterical paroxysms, with fainting turns, succeeded 
by headache. Great dryness of mouth, [Nux m.] *Copious 
colorless urine. Great tendency to involuntary stools. 

NUX MOS. Laughter, everything seems ludicrous, talks 
loudly to herself. *Grcat dryness of mouth and tongue 
when sleeping. Head feels full and as if expanding. *Enorm- 
ous distension of abdomen alter meals. *Great sleepiness 
and inclination to faint. 

PALLADIUM. Great inclination to use strong language 
and violent expressions, [Mosch.] Excited and impatient; 
thinks she is neglected. Distended abdomen from flatulence. 
Pain and weakness, as if uterus were sinking down. Stools 
hard, like chalk, [Podo.] Great sleepiness. 

PLATINA. Feels as if she would lose her senses and die 



174 THERAPEUTIC KEY. 

soon. Spasms alternating with dyspnoea to suffocation. 
Twitches of single muscles, trembling, shivering, worse at dawn, 
[see Hyos.] * Menses in excess, dark, thick. 

PULSATILLA. *Easily moved to tears or laughter. Silent 
mood, disgusted with everything. *Symptoms ever changing. 
Fainting fits, with great paleness of face, trembling all over. 
* Menses too late, scanty, or suppressed. Very bad taste in 
morning, nothing tastes good. 

SEPIA. Fits of weeping and laughter, [Ign. Puls.^ *Parox- 
ysms of twisting in stomach and rising in throat. Her 
tongue becomes stiff, she is speechless, body rigid. Sensa- 
tion of a ball in inner parts, [in bladder, Bell.] *Painful 
sensation of emptiness in stomach, [Brom. Ign] * Urine 
putrid, depositing a clay-like sediment which adheres firmly 
to the vessel. Cold hands and feet. 

TAKANTTJLA. *Epileptiform hysteria, [Gel.] Crossness, 
crying, screaming. Anguish and oppression of chest, nearly 
amounting to suffocation. Uneasiness without cause, changes 
position every moment. *Burning heat through whole body, 
alternating with intense coldness, that causes trembling and 
shaking. Dysmenorrhoea, with gastric derangement, vomit- 
ing, etc. 

THEBJDION. Hysterical affections during puberty and 
climaxis, [see Lach. Puis.] Excessive headache, increased 
by least noise. Anxiety about the heart. Fainting after 
every exertion. Violent stitches in chest. 

AUXILIARY IVIEASURES. During an attack, guard 
patient against injury, loosen all clothing, give plenty of 
fresh air, cold douche to head very successful; hold head 
over a tub and pour cold water on it until convulsion 
ceases. After this treat hysterical condition. 

HYGIENIC IVIEASURES. Persons subject to hysteria 
should observe a regular quiet mode of life, avoid all mental 
or emotional excitement, over-exertion, errors of diet, over- 
loading the stomach, and abstain from all stimulating food 
and drinks. Take open air exercise, rise early, bathe fre- 
quently and use the flesh-brush vigorously. 

DIETETICS. Use but little animal food, chiefly vegetables, 
fruits, bread made from unbolted flour, rice, hominy, oatmeal 
mush, milk, etc. Avoid tea and coffee and drink plenty of 
water. 



INGROWING TOE-NAILS. 

This painful affection arises not so much from deformity of 
the nail as from the contiguous soft parts becoming swollen 
and inflamed from constant pressure against the edge of the 
nail by wearing narrow and tightly fitting shoes. \t the in- 
flammation continues, suppuration takes place, and an ulcer 



INTERMITTENT FEVER. 175 

is formed, from whence large fungus growths, or " proud 
flesh," springs up, which are very sensitive and painful. 

TREATMENT- Remove all pressure. Soak the foot well 
in warm water, then introduce under the edge of nail a 
pledget of lint saturated with Calendula. At same time with 
a sharp-pointed knife scrape a groove lengthwise through 
centre of nail from root to point. Repeat the scraping from 
day to day until it nearly reaches the quick. Cut or notch 
out the centre of nail, and permit the corners to grow. If 
this does not have desired effects, R. Salycilic acid 3ji, Ext. 
Cannabis ind. grs. iv, Collodion gss. M. and apply to inflamed 
parts every evening, first removing the dry coating. Will 
give prompt relief. If " proud flesh" springs up in the ulcer, 
and is very sore and painful, take a little Perchloride of iron 
in powder, and insinuate it between the free edge of the nail 
and ulcer; repeat in 24 hours; will have excellent effect. 

Failing in the above measures, remove edge of the nail. 
Etherize patient and pass sharp blade of pair of scissors 
under the nail, cut it through and tear away offensive por- 
tion with forceps. 

In addition to the foregoing, one of following remedies 
given internally will afford great assistance. 

ARSENICUM. Pain of a burning character, parts have a 
blackish look and emit a foul odor, [Carb. v.] 

PHOSPHORUS. Parts hard and dry, with pain as if 
frozen, [Agar.] *The parts bleed easily. 

SILICEA. Ingrowing toe-nail with offensive discharge. 
11 Proud flesh," stinging and burning. *S\veaty feet, with 
cadaverous smell. 

SULPHUR. Thin, shining swelling of the toe. *The 
parts suppurate, and '-proud flesh" springs up, which is 
very tender and painful. 



INTERMITTESTT FEVER. 

THERAPEUTICS. Leading indications. 

ACONITE. Recent cases of young persons of full habit. 
Violent chill, and heat especially about head and face. 
[Gel.] Cough during fever. *Great fear and anxiety of 
mind, with nervous excitability. Palpitation of heart, 
and pleuritic stitches in chest. 

ANTIMONIUM. Much gastric disturbance, [Ipe. Nux v.] 
"White coated tongue. *Great sadness and a woeful mood. 
Chilliness predominates. Great desire to sleep; want of 
thirst. [Puis.] Sticky sweat. 

APIS MEL. Chill about 4 r. M., [*Lyc] worse in warm 
room or near a stove. Renewed chilliness from slightest 
motion, with heat of face, hands, and particularly abdo- 
men. Sweat, alternating with dryness of skin. During 
apyrcxia, pain under short ribs, worse on left side. *Sen- 



176 THERAPEUTIC KEY. 

sation in abdomen as if something tight would break if 
effort were made to void a stool. 

ARSENICUM. Paroxysms imperfectly developed. Before 
chill, vertigo, headache, yawning, stretching, and general 
discomfort. Chill frequently intermingled with heat and 
fever ; or there is internal chilliness and external heat, [see 
Calc. c] *During fever, great anguish, extreme restless- 
ness, and fear of death. After paroxysm, great prostration. 
*Urgent thirst, drinking often, but little, [Apis. Chin.] 

BELLADONNA. Slight chill, with much fever, or vice 
versa. Some parts are cold, while others are warm [Rhus.] 
Violent throbbing headache, with stupefaction. *Heat and 
red face, with throbbing of carotids. Choking sensation in 
throat, with dry mouth. 

BRYONIA. The chill predominates. Great thirst during 
all the stages. * Violent, dry, racking cough, with stitching 
pains in the side of the chest, [see Rhus.] Stitching pain 
in the region of the liver and abdomen. *Hard, dry stools, 
as if burnt. Exceedingly irritable ; everything makes him 
angry. 

CALC. CARB. Persons of a scrofulous diathesis. Thirst 
during chill. Chills alternating with heat, or external cold- 
ness and internal heat, [Ars.] Hardness of hearing. 
*Feet feel as if they had on cold, damp stockings. Pa- 
tient very weakly in general; vertigo and shortness of 
breath on going up stairs. Diarrhoea, stools whitish, 
undigested. 

CAPSICUM. Chill with thirst, followed by heat without 
thirst. *The chill commences in back and from thence ex- 
tends over entire body, [Eup. pur.] Relief by putting hot 
tilings to back during chill. Drowsiness during fever, accom- 
panied by perspiration. Much pain in back and limbs. 

CARBO VEG-. Paroxyms irregular, sometimes com- 
mencing with sweat, followed by chill. The attack is pre- 
ceded or attended by toothache and pain in limbs. *Thirst 
only during chilly stage, [Ign.] Vertigo, redness of face 
and sick stomach during hot stage. *When eating or 
drinking, sensation as if the stomach or abdomen would 
burst. 

CEDRON. Chills regular and very severe, with cramps, 
and tearing pains in upper and lower extremities. Dry 
heat, followed bv profuse perspiration. *Numb, dead feel- 
ing in leg [in fingers, *Sep.] ; they feel enlarged. *The 
entire body feels numb. 

CHAMOMILLA. Chill generally light. Heat and sweat 
predominate. Much thirst in hot stage, [only in cold stage, 
Carb. v. Ign.] *Face red, or one cheek red and the other 
pale. *Very impatient, can hardly answer one civilly. Hot 
perspiration about the head and face. *Pain in the abdo-, 
men, with frequent emissions of large quantities of pale 
urine o 



INTERMITTENT FEVER. 177 

CHINA. The paroxysm is preceded by nausea, headache, 
hunger, anguish, and palpitation of heart. *Thirst before 
chill, and during sweating stag* 1 . Chills alternating with 
heat, skin cold and blue, [see Nux.] Ringing in ears, with 
dizziness and a feeling as if the head was enlarged. *Pain 
in region of liver and spleen, when bending or coughing. 
Sallow complexion. Miasmatic districts. 

CINA. Vomiting and great hunger before, during, or 
after paroxysm. Thirst only during chill or heat. Pale 
face throughout the paroxysm. Frequent tickling in nose, 
[Phos. ac] Restless at night. *Dilatation of pupils ; per- 
fectly clean tongue. 

ETJPATO. PER. Thirst several hours before chill, continu- 
ing during chill and heat. StiiFness of fingers during chill. 
The paroxysm usually occurs about 7 or 9 a. m., [10 a. m., 
*Nat. m.] *During chill severe aching in back and limbs 
as if the bones were broken. Sweat not very prominent. 
*Vomiting of bile at conclusion of chill. 

ETJPATO. PUR. *Chill commencing in back, and then 
spreading over the body. [Cap.] Paroxysms come on at dif- 
ferent times of day. *Violent shaking, with comparatively 
little coldness. Thirst during the chill and heat. Violent 
pain in bones during chill and heat. Head feels light, as if 
it was falling to left side. 

FERRTJM. Chill, with thirst, headache, and swelling of 
cutaneous veins. (Edema of face, especially around eyes. 
[*Ars.] Womiting everything eaten without being digested. 
*The least emotion or exertion produces a red, flushed face. 
Great loss of muscular power. *In protracted and badly treated 
cases by quinine, [by mercury, Hep.] Swelling of feet. 

GELSEMITJM. Chill mostly in evening, commencing in 
hands and feet, or running up and down the spine ; it is followed 
by gradual and moderate sicca t, which always gives relief. The 
heat is attended v/ith nervous restlessness and mental anxiety. 
Vertigo, with a sense of intoxication. Sensitive to light or 
"noise, [Bell.] Advised as a prophylactic. 

IGNATIA. Thirst only during chill. External heat, with 
partial internal shuddering. * The chill is relieved by external 
heat, [see Ars. Cap ] During fever, nettle-rash over whole 
body, [see Hep. Rhus.] 

IPECAC. Much chilliness with little heat, or much heat 
and little chilliness. Paroxysm sets in with yawning, stretch- 
ing, and a collection of saliva in mouth. Chill increases by 
external heat, [relieved by *Ign.] No thirst in cold stage, 
but a great deal in hot. * Nausea and vomiting predominate. 
The apyrexia is marked by more or less gastric disturbance. 

LYCOPODITJM. *The paroxysm comes on about 4 p. m., 
and terminates about 8 p. m. *Constant sense of fullness in 
stomach and abdomen, as though they would burst. Obsti- 
nate constipation. *Red sediment like snnd in mine. Great 
fear of being left alone, [wishes to be alone, Chin. *Nux.j 



178 THERAPEUTIC KEY. 

NATR. MUR. *Cliill commencing at 10 A. m., with great 
thirst, drinking often and much at a time. During heat vio- 
lent headache, relieved by sweating. *Dry tongue, and ulce- 
rated corners of mouth. 

NTJX VOMICA. Paroxysm usually at night or early in 
morning. *Long-lasting, hard chill, with bluish, cold face 
and blue finger-nails. *Great heat, notwithstanding patient 
wants to be covered up. Both chill and heat are accompa- 
nied with gastric and bilious symptoms, [Ant. Ipe.] During 
chill, pain in sacrum. During fever, headache, vertigo, red 
face, pain in chest, and vomiting. 

OPIUM. Drowsiness or heavy sleep, with loud snoring 
during the cold and hot stages. Congestive chills. * Stertor- 
ous respiration, with mouth wide open. Congestion of blood 
to head, with red and puffy appearance of face. Aged per- 
sons and children. 

PULSATILLA. Attack mostly in afternoon or evening. 
Chill and heat simultaneous, [Ars.] No thirst during entire 
paroxysm, or only in hot stage. Bitter or sour vomiting of 
mucus or bile. * Thickly coated tongue, and bad taste in 
morning. Slight disorder of stomach induces a relapse. 
*Much gastric disturbance. Mild, tearful disposition. 

QUININE SULPH. Chill every alternate day, anticipates 
from one to three hours. ^Decided shake, with thirst. Lips 
and nails blue, [Nux.] Face pale, patient hungry. * Intense 
heat, with excessive thirst. Profuse sweating with thirst. In 
many cases this remedy will have to be given in sufficient 
doses to counteract the influences that produced the disease. 

RHUS TOX. Paroxysm usually in after part of day. 
Chill preceded by stretching limbs and yawning. Coldness 
of some parts of body, and heat in others, [Bell.] Perspi- 
ration after midnight or towards morning. During hot stage 
nettle-rash breaks out. *Restlessness, constantly changing 
position. *Dry, teasing cough before and during chill, 
[during fever, Aeon.] 

SAMBUCUS. *Profuse debilitating sweat, even in apy- 
rexia. Cold creeps over whole body, with fine stitching 
formication. Dry, hacking cough during chill and heat. Icy- 
cold hands and feet. Burning heat in face, with moderately 
warm body and cold feet. 

SEPIA. General cold feeling, with pressure over temples 
and eyes. *Great coldness of hands, with sensation as if 
fingers were dead. During heat, vertigo, even to insensibility. 
Sweating over whole body, with anxiety, and dryness of 
throat. ^Perfect absence of thirst, [Puis.] Urine brown, 
fetid. 

SULPHUR. Attacks mostly in evening or at night, pre- 
ceded by thirst and lassitude. Chilliness in back, chest, and 
arms, with coldness of hands, feet, and nose. During heat, 
thirst, with burning in hands and feet, and a bruised, tired 
feeling in limbs. ^Burning heat on top of head. * Frequent 



INTUSSUSCEPTION. 179 

weak, faint spells through the day. *Early morning diar- 
rhoea. 

VERAT. ALB. Severe chill, with feeling of internal heat, 
or both together, [see Puis.] Great thirst, especially during 
chill, and sweating. Profuse sweat, often cold and long-con- 
tinued. *Great exhaustion and sinking of strength. Vom- 
iting and diarrhoea. Intermittents during the prevalence of 
cholera. 

AUXILIARY MEASURES. During the cold stage give pa- 
tient a hoi foot bath, or wrap limbs to knees iu blankets wrung 
out of hot water, and give hot water to drink. 

During hot stage sponge the surface with warm water, and 
wrap in a clean sheet, and allow patient to dry without being 
rubbed. 

In malarial districts patients should avoid night air y and 
sleep in upper story of house. 



INTUSSUSCEPTION. 

The slipping of one portion of the intestine into another, 
causing obstruction, is called intussusception or invagination. 
Generally it is the upper part of the iutestiue, which is 
received into the lower. 

The symptoms are: Pain in region of ileo-ccecal valve; great 
desire to go to stool with passages of blood and mucus; 
vomiting of ingesta, bile, and feces. After the invagination 
continues for a time, congestion and inflammation supervene, 
which sometimes become gangrenous and slough, being passed 
per anuni, and patient recovers. 

TREATMENT. When obstruction is suspected from twist, 
convolution or invagination, one of the following remedies 
should be exhibited, and will often prove curative if given 
early. 

BELLADONNA. *Colic as if a spot in the abdomen w~re 
seized with nails. Constrirtio?i around the umbilicus, as if a 
ball would form. *Periodical pains, which come suddenly 
and cease as suddenly. 

COLOCYNTH. Violent cutting, constrictive, spasmodic pains. 
* Feeling as if intestines were being squeered between 
stones, compelling one to beud double. The pain radiates 
from a central point, and is aggravated by motion. 

NUX VOMICA. Violent pains through to the back, ex 
tending to the anus, with urging to stool. IStercoruceous 
vomiting and singultus, [see Opi.] 

OPIUM. Squeezing pains, as if something were forced 
through a narrow space. *Anti-peristaltic motion, belch- 
ing and vomiting a fecal-smelling substance, [see Verat.] 
*81ow pulse. 

PLUMBUM. *Terrible contractive pains, abdomen 
drawn in to back. Harl swelling in ileo-ccecal region, 



180 THERAPEUTIC KEY. 

painful to touch and motion. Vomiting fecal matter, with 
colic, [Nux Opi.] 

VERAT.ALB. *Intestinesfeelasif tied in knots. Cramping, 
twisting or cutting pains. Anti-peristaltic action; vomiting 
bile and black blood. *Cold sweat, particularly on fore- 
head. 

SURGICAL TREATMENT. Place patient on his back, 
with hips well elevated, pass a long rubber tube into the rec- 
tum and up the colon as near to seat of stricture as possible, 
and inject large quantities [a gallon, if necessary] of vjo/rm 
flaxseed-tea or olive oil. Manipulate abdomen with hands 
while the injection is being administered and while it is 
passing away. Repeat operation several times. 

Inflating the bowels with air has been successful. Intro- 
duce rubber tube as above directed, and with an ordinary- 
sized bellows, force the air in until abdomen is well dis- 
tended. Try also inverting patient's body, as directed for 
strangulated hernia. 

If the above measures fail, and the diagnosis be clear, have 
recourse to abdominal section. An incision four or five 
inches long should be made below the umbilicus in linea alba. 
Open peritoneum carefully and search for the obstruction. 
Use antiseptic dressings. 



JAUNDICE. 

THERAPEUTICS. Leading indications. 

ACONITE. Synochal fever, with acute stitches in region 
of liver. Scanty, dark urine. *Great fear and anxiety of 
mind, with nervous excitability. Clay -colored stools, 

ARSENICUM. Yellowness of sclerotica, [Cham. Chin.] 
Undigested, light-colored, offensive stools. *Great, anguish, 
restlessness, and fear of death. *Urgent thirst, drinks 
often, but little, [Chin.] Irritable mood, alternating with 
lowness of spirits. 

BRYONIA. Stitching pains in liver when pressed upon. 
Pain in right shoulder and arm. Pain in limbs, worse by 
motion. Yellow-coated tongue; bitter, bilious vomiting. 
*Lips parched, dry, and cracked. Nausea and faintness on 
sitting up. ^Constipation, stools dry and hard. 

CALC. CARB. Scrofulous diathesis, [Sulph-l *Large 
head and open fontanelles, [Sil.] Stitches in liver during or 
after stooping. Enlargement of liver. Cannot bear tight 
clothing around waist. *Clay-like stools, scant ami knotty. 
Fetid, dark-brown urine, white sediment. *Cold, damp feet. 
Swollen abdomen ; emaciation and good appetite. 

CHAMOMILLA. Mostly new-born children, or after 
chagrin, [Aeon. Nux.] Yellowness of face and whites of 
eyes. *Green, watery, corroding stools, with colic, 
[*Merc] Bitter taste, with bi)ious vomiting. *Very im- 



JAUNDICE. ' 181 

patient, can hardly answer one civilly. *Children are 
very fretful, and want to be carried. 

CHINA. Persons who have been weakened by loss of 
animal fluids. Yellow color of skin. Dullness and muddled 
condition of head. Oppressive, tearing headache. Liver 
swollen, hard, and tender. *Bitter taste in back part of 
throat; everything tastes bitter, [Bry.] * Abdomen feels 
full and tight as if stuffed. Yellow, watery, undigested 
stools, without pain. Urine turbid, dark. Aggravation every 
other day. 

DIGITALIS. Frequent empty retching, with clean 
tongue. Soreness and bloatedness of pit of stomach. 
*Stools almost white, [Chin.] Frequent and painful emis- 
sions of scanty , brown or blackish urine. Irregular or intermit- 
tent pulse. 

IODINE. *Yellow, almost dark-brown color of face. 
Thickly coated tongue. White diarrhceic stools, alternating 
with constipation. Dark, yellowish- green, corroding urine. 
Nausea and thirst. After mercurial poisoning. Scrofulous 
persons, [Calc. Sulph.] 

LEPTANDRA. Dull aching in the region of gall-bladder, 
[Podo.j Chilliness along the spine. *Constant distress 
between the umbilicus and epigastrium. Clay-colored, or 
black, tarry stools. Brown urine. 

MANCINELLA. * Black, or malignant jaundice, [Iod. Phos.] 
Jaundice, with dropsy, when skin assumes a dark-greenish tint, or 
dark-brown appearance. (Edema of the whole body, the legs 
greatly swollen and dark-colored. Tired feeling in region of 
kidneys; urine brown. Diarrhoea, with colic and vertigo. 

MERCUBJUS. * Complete jaundice, with painfulness of 
region of liver, skin very yellow. * Grayish- white faeces, with 
tenesmus during and after stool. Thickly-coated, flabby 
tongue. *Bad smell from the mouth, [Podo.] Nausea and 
vomiting. Loathing of food. Urine scanty and dark-red, 
with a fetid smell. 

NITX VOM. Swelling and hardness of liver, [Chin. Merc] 
Sour or putrid taste, with aversion to food. Contractive 
pain in region of liver. Nausea and bilious vomiting. 
^Constipation with unsuccessful urging. *Cannot sleep 
after 3 a. m. *Yery irritable, and wishes to be alone. Aggra- 
vation in morning. Persons of sedentary or intemperate habits. 

PODOPHYLLUM, Icterus consequent upon obstruction of 
biliary-duct, [see " Gall-slone"] *Pain in region of gall- 
bladder, attended with excessive nausea. Fullness and sore- 
ness in liver, [Nux v.] Worse in hot weather. 

PULSATILLA. Yellow coating on tongue, with bitter taste 
in mouth, [Cham.] Nausea and desire to vomit. Frequent 
attacks of anguish, especially at night. ^Chilliness, with 
vertigo on rising from a sitting posture. *Green, slimy 
diarrhoea, especially at night. Thirstlessness. Amenorrhea. 
Aggravation towards evening. 



182 THERAPEUTIC KEY. 

DIETETICS. Rice, oatmeal, tapioca, plain puddings, 
simple toast, vegetables, ripe and cooked fruits should con- 
stitute the diet, and water the principal drink. All animal 
and greasy food, and stimulating beverages should be 
avoided. 



LEUCORRHffiA. 

THERAPEUTICS, Leading indications, 

JESCULUS. ^Constant backache affecting the sacrum and 

hips. Discharge dark-yelloio, thick, and sticky corroding labia. 
*Great fatigue from walking ever so little, on account of 
weakness in back. Large protruding hemorrhoids and con- 
stipation. 

ALUMINA. Leucorrhoea just before or after the menses, 
[Kreo.] * Profuse, purulent, yellowish, corroding discharge, 
relieved by cold applications. Severe burning in small of 
back. Great inactivity of the rectum, with much straining 
at stool. 

AMBRA. Discharge of bluish-white mucus. ^Leucorrhoea 
only at night. *Stitches in vagina preceding the discharge. 
Nervous hysterical subjects. During micturition, burning, 
smarting, itching of vulva. 

AMM. CARB. *Very acrid, burning, and watery leucor- 
rhoea, [Alum. Puis.] Menses too early, too scanty, or too 
profuse. Unrefreshing sleep ; headache after walking in 
fresh air. Suits sickly, weak, delicate women. [Ars.] 

AMM. MUR. Leucorrhoea, with distension of the abdomen. 
*Discharge like white of eggs, preceded by pinching pain 
around the navel. *Brown, slimy leucorrhoea after urinating, 
[see Nit. ac] Intolerable pain in the small of the back at 
night. Menses premature, profuse and composed of black 
clots. 

ARSENICUM. Acrid, corroding leucorrhoea, making parts 
sore, [Alum. Bovis. Con. Ign. *Kreo. Puis.] ^Discharge 
thick, yellow, dropping out while standing, or when emitting 
flatus. Great anguish and restlessness at night. Feeble, 
weakly women. 

BOVISTA. Especially after the catamenia. *Discharge 
like the white of eggs, coming away while walking, [see Am. 
m.] Also yellowish, green, corrosive leucorrhoea. Menses 
too often and too profuse, with painful bearing down towards 
the genitals. 

CALC. CAEB. Milk-like discharge during micturition, or 
flowing only by spells, [see Con.] Too early and profuse 
menstruation. Very weakly in general, walking produces 
great fatigue, [see iEscu.] *Very sensitive to cold air. 
*Feet cold and damp. 

CHINA. Weakly persons who have lost much blood. 
*Leucorrh038 before the menses, with painful pressing toward 



LEUCORRHCEA. 183 

the groins and anus. *Bloody leucorrhoea, with occasional 
discharge of black clots, or fetid purulent matter. Trouble- 
some itching in the inner parts. 

COCCTJLUS. Scanty, irregular menses, with leucorrbcea 
between the periods, [after, Puis.] Leucorrhoea in place oj 
menses. "^Discharge like serum mixed with a purulent, 
ichorous liquid. *When bending or sitting down the dis- 
charge escapes in a gush. Painful menstruation, followed 
by hemorrhoids. 

CONITJM. Weakness and lameness in small of back. 
*Leucorrhcea, smarting and excoriating the parts. Discharge 
whitish or milk-colored, and painful. Induration or ulceration 
of os uteri. * Vertigo during menses, particularly while lying 
down. Dysmenorrhoea, with shooting pain in left side of 
chest. 

CTJBEBA. *Discharge profuse, yellow, greenish, very 
acrid and offensive. Small burning pimples, ulcers like 
aphthae on the vulva, with intense itching. Fissures and 
bleeding excrescences upon the os tineas, [see Con.] Womb 
swollen and painful, as if from a tumor. 

GRAPHITES. Females inclined to obesity; menses too 
late and too scant]!. * Leucorrhoea profuse and of a white color, 
[milk- like, Con. Sep.] Great weakness in small of back when 
walking or sitting. *Eruptions on the skin oozing a sticky 
fluid. 

IGNATIA. Violent labor-like pains, with pressing in 
region of womb. *Purulent, corrosive leucorrhoea, with a 
weak, empty feeling in stomach. *She seems full of sup- 
pressed grief. Difficult stools, causing prolapsus ani, [loose 
stools, with prolapsus ani, Merc. *Podo.] 

KALI BICHRO. *Yellow, ropy leucorrhoea, which can be 
drawn out in long strings, [see Sabi.] Much pain and weak- 
ness across small of back. Menses too soon, with vertigo, 
nausea, and headache. 

KREOSOT. Leucorrhoea before and after menses. *Putrid, 
acrid, corrosive leucorrhoea, with great debility, particularly 
of lower extremities. Menses too early, too profuse, and 
last too long, [Bell. Calc. c.]. *She always feels chilly at 
menstrual period. 

LACHESIS. Leucorrhoea before menses, [after, Puis.] 
*Discharge copious, smarting, slimy, stiffening linen and 
staining it green, [yellow, Nux v.] Menses regular, but too 
short and feeble. * Inability to bear anything tight around 
waist. Women at critical age, [Sep.] 

LYCOPO. * Profuse leucorrhoea at intervals, accompanied 
by a cutting pain across hypogastrium from right to left. Pale 
face, with frequent flushes or circumscribed redness of cheeks. 
*Red, sandy sediment in urine. Menses too long and too 
profuse. *Sense of great fullness in stomach after eating. 

NITRIC ACID. * Leucorrhoea of ropy mucus, [Kali b.] 
Also green mucus, or flesh-colored, acrid, brown, offensive. 



184 THERAPEUTIC KEY. 

Excrescence in cervix uteri, [Cub.] Itching, sivelling and 
burning of vulva and vagina,. * Urine extremely offensive. 

NUX MOS. *Leucorrkoea in place of menses [Cocc] 
*Great drowsiness, always awakens with a very dry mouth 
and tongue. Menses too early and too profuse, with discharge 
of thick, black blood. Hysterical women. *Prolapsus uteri 
et vaginae, [Sep.] Great tendency to faint. 

NUX VOM. Fetid leucorrhcea tingeing the linen yellow with 
pain in the uterus as if sprained. *Menses irregular, never 
at the right time. Habitual constipation, with frequent 
urging to stool. As a consequence of high living, or sedentary 
life. 

PODOPHYLLUM. Leucorrhcea, attended with constipation, 
and bearing down in genital organs. Discharge of thick, 
transparent mucus. * Prolapsus uteri and ani. Morning 
diarrhoea; stools watery, green. 

PULSATILLA. Burning, thin, acrid leucorrhcea, *Milky 
leucorrhcea, with swelling of vulva, particularly after menses. 
Also leucorrhcea, with thick, white mucus before and during 
menses. * Vertigo when rising from a sitting posture. Menses 
too late and scanty. Mild, tearful women. 

SABINA. *Excoriating leucorrhcea, with pruritus. Dis- 
charge ropy, glazy, [ropy, yellow, Kali b.] 

SEPIA. Climacteric period, during pregnancy or puberty, 
[see Lach.J Leucorrhcea with stitches in neck of uterus, and 
itching in vagina. Prolapsus uteri et vaginse. Yellowish, 
watery, milk-like, or mucous leucorrhcea. *Dirty, yellow 
spots on face. Very fetid urine, depositing a clay-colored 
sediment. 

SULPHUR. Burning, painful leucorrhcea, making vulva 
sore. Discharge thin, yellowish, preceded by pinching in 
hypogastrium, [see Am. m.] ^Burning in vagina. *Frequent 
weak, faint spells during the day. *Constant heat on top of 
head. Burning in soles of the feet; puts them out of bed. 
ZINCUM. *Leucorrhcea of bloody mucus after menses, 
causing itching of vulva. Uterine ulcers with bloody, acrid, 
discharge, the ulcers being rather destitute of feeling. 
Fidgety feeling in feet or lower extremities, must move them 
constantly. Chronic sick-headache ; weakness of sight. 

AUXILIARY MEASURES. Frequent injections of warm 
water, [95° to 100° F.] are very beneficial. Where the dis- 
charge is excoriating and the parts sore, injections of a solu- 
tion Hydrastis, [ £j. Aq. ferv. Oj.] will be found very useful. 

Measures should be taken to improve the general health 
by suitable diet, out-doors exercise, bathing, regular habits, 
etc. 



MASTITIS. — MEASLES. 185 

MASTITIS. 

{Inflammation of the Mammse.) 

THERAPEUTICS. Leading indications. 

ACONITE. *lf due from exposure to cold, dry, west 
winds, [Hepar.] Taken at onset of chill, it will often be 
sufficient to prevent further development. 

ARNICA. *If caused from a recent injury. Great sore- 
ness of the breasts. *The bed on which she lies feels too 
hard. 

BELLADONNA. Breast swollen, hard and feels heavy, 
[Bry.] Sometimes inflammation resembles erysipelas, with 
red streaks running in radii. Burning heat, with throbbing, 
stitching pain. *Flushed face, throbbing headache. 

BRYONIA. *In early stage, breast swollen, hard, and 
feels heavy, but not very red. Severe stitching pains. 
*Nausea and faintness on sitting up. 

HEPAR SULPH. * Where suppuration is inevitable, 
[Sili.] Throbbing pains, often preceded by a chill. Scrof- 
ulous persons, and after the use of mercury. 

PHYTOLACCA. " Gathered breasts," with large, fistulous, 
gaping and angry ulcers, discharging a watery, fetid pus. 

SILICEA. Suppuration imminent. *Fistulous openings 
form, which are slow to heal, and discharge a fetid, watery 
pus. Milk suppressed. Scrofulous diathesis. 

LOCAL MEASURES. On first appearance of hardness, 
give the appropriate remedy and rub with hot lard or olive 
oil, and cover the parts with a piece of flannel wet with the 
same. Warm fomentations, impregnated with indicated 
icmedy, very useful. The extreme pain and tenderness may 
be greatly relieved by a dish of hot water held under the 
breast, and the heated fluid constantly applied with a sponge. 

When suppuration is inevitable, apply linseed-meal poul- 
tices. In puncturing, have edge of lancet looking towards the 
nipple. 

MEASLES. 

THERAPEUTICS. Leading indications. 

ACONITE. At the beginning, when there is dry, hot skin, full, 
quick pulse, and much thirst. *Eyes red, watery, and sensi- 
tive to light, [Bell.] Catarrhal irritation, with dry, hack- 
ing, or hoarse, croupy cough. * Great anxiety and restless- 
ness. Headache, and vertigo on rising up, [nausea and 
faintness on rising up, *Bry.] 

APIS. Confluent eruption and crdematous swelling of skin. 
*Cough and soreness in chest, as if bruised. Oppression of 
chest, with inability to remain in a warm room, [Puis.] 
Scanty, high-colored urine. *Diarrhoea in morning, stools 
greenish-yellow. 



186 THERAPEUTIC KEY. 

ARSENICUM. Severe cases, when iyphoid symptoms are 
present. *Burning and great dryness and itching of skin. 
The eruption disappears too suddenly, [*Ipe.] *Bloatedness 
of face, and dry, parched lips. *Great anguish, restlessness, 
and fear of death. ^Constant craving for cold water, drink- 
ing often, but little. Rapid prostration. Worse about mid- 
night. 

BELLADONNA. Bright-red appearance of throat and 
tongue, with difficulty of swallowing. *Red and hot face, 
with throbbing headache. Back feels as if it would break, 
[as if broken, Phos.] Dry, spasmodic cough. Constant 
drowsiness, and moaning during sleep. ^Starting, jumping 
during sleep, with flushed face, red eyes. If complicated with 
scarlet fever. 

BRYONIA. The eruption is imperfectly developed. "^Con- 
gestion of chest, with shooting, stitching pains, increased by 
deep breathing, [Phos.] *Great dyspnoea and quick breath- 
ing. Dry, painful cough, with roughness and dryness of the 
larynx. ^Sitting up in bed causes nausea and faintness. 
Thirst for large draughts of water. 

CAMPHORA. When there seems to be a depression of 
vital forces. *Face pale and skin cold, assuming a bluish 
color. *The eruption does not make its appearance as it 
should. Great prostration and stiffness of body, [of back 
and knees, Bry.] *Coldness of skin, yet patient cannot beaF 
to be covered, 

IPECAC. Eruption slow to make its appearance, with 
oppression of chest, [Camp. *Puls.] ^Constant tickling 
cough with every breath, and rattling of phlegm in chest. 
* Much nausea and vomiting. Suppression of eruption. Con- 
stant sense of nausea. 

MERCURITJS. The glands of throat swollen, with diffi- 
culty in swallowing, [see Bell.] *Soreness of throat and 
ulceration of tonsils. Profuse secretion of saliva, and bad 
breath. * Great sensitiveness of pit of the stomach. Much 
perspiration without relief. Green, slimy, or bloody stools, 
with severe tenesmus. 

PHOSPHORUS. If the disease be complicated with 
pneumonia, or if typhoid symptoms set in. *Tightness across 
chest, with violent and exhausting cough, and rust-colored 
sputa. Sticking pains in chest, aggravated by coughing or 
breathing, [*Bry.] ^Hoarseness, with loss of voice. 

PULSATILLA. Generally in beginning, when catarrhal 
symptoms appear. Eyes red, watery and sensitive to light, 
[Aeon. Bell.] Thick, yellow discharge from nose. *Dry- 
ness of mouth, without thirst. *The eruption is tardy in 
coming out. Loose cough, with thick, yellow, mucous expec- 
toration. *Nightly diarrhoea. *Craves cool, fresh air, 
worse in a warm room. 

SCILLA. * Diarrhoea during measles, where the stools 
are dark-brown or black, slimy fluid; in frothy bubbles, 



MENINGITIS. 187 

Discharges painless and very offensive. For diarrhoea following 
measles, Chin. Dulc. Merc. Puis. Sulph. 

For OTITIS and OTORRHCEA, consult Bell. Cham. Merc. 
Puis. Sulph. 

CLINICAL REMARKS,, Keep patient in uniform tem- 
perature, 70° F., room well ventilated, and darkened if eyes 
are sensitive. Warm baths to bring out tardy eruption, and 
hot foot-baths to relieve oppression of chest. Gum-arabic or 
slippery-elm tea may be sipped frequently for troublesome 
cough, and pure, fresh water drank at pleasure. 

DIETETICS. Plain simple food at first, consisting of 
milk, light puddings, rice, plain toast, etc. Later, broths, 
beef-tea, vegetables, fruits, etc. 



MENINGITIS. 

THERAPEUTICS. Leading indications. 

ACONITE. In the commencement, when there is a high degree 
of fever. *Congestion of blood to the head, with red face, 
and pulsation of carotids, [*Bell.] *Great anxiety and fear 
of death ; predicts the day he will die. *Sleeplessness, 
restlessness, tossing from side to side. Vertigo or fainting 
on rising up. 

APIS MEL. Meningitis from suppression or spread of 
erysipelas, or other exanthemata, [see Cup.] Congestion to 
the head and face, [see Aeon.] *Sopor, with delirium, 
sudden shrieking cries, squinting, grinding teeth, and boring 
head in pillow. "^Conjunctiva injected, full of dark vessels. 
Red spots on the skin, like bee-stings, with stinging, burn- 
ing pains. 

BELLADONNA. Violent throbbing, stitching pains in 
head. *Red, sparkling eyes, with furious look. Face red 
and bloated, [Aeon.] Great heat in head, with violent throb- 
bing of carotids, [Hyos.] Boring with head into pillow, [see 
Apis.] *Furious delirium, with desire to escape ; he tries 
to strike, bite and injure those around him. *Great aversion 
to noise and light. Pupils contracted or dilated. *Starting 
and jumping during sleep. 

BRYONIA. Pain in head, as if the skull were being pressed 
asunder. Congestion of blood to head, with heat and burn- 
ing. ^Delirious talk at night, with desire to escape, [Bell.] . 
Lips dry aud parched, with great thirst. * Wants to keep 
perfectly still, as the least motion makes him worse. Sudden 
starting up from sleep. ^Sitting up in bed causes nausea and 
fainting. *Dry, hard stools. Very irritable. 

CICUTA. After concussion of the brain; eyes sensitive to 
light, pupils dilated. Starting, trembling of the head, worse 
on moving it. Face bluish, puffed up. Grinding the teeth, 
[see Cup.] Thirst, with inability to swallow. Spasmodic 
drawing of head backwards. 



188 THERAPEUTIC KEY. 

GLONOINE. *Throbbing in temples, vertex, occiput, and 
whole head, [see Bell.] All the blood seems to be pumped 
upwards, the brain feeling too large ; holds head with the 
hands. Redness of eyes, with soreness of eyeballs. Espe- 
cially suitable after sunstroke, [Aeon. Verat. v.] 

HELLE BOB-US. Usually in last stage, when serous exuda- 
tion has taken place. *Face pale and puffed. *Soporous 
sleep, with screaming and starting. Rolls head night and 
day, [see Hyos.] *Lower jaw sinking down. *Chewing 
motions with mouth. * Automatic motions with one arm and 
one leg. Squinting, pupils dilated. 

HYOSCYAMUS. Drowsiness and loss of consciousness. 
Rolling the head. *Delirium, with wild, staring look, jerking 
the limbs, and throbbing of carotids. White-coated tongue; 
frothing at the mouth, *Staring, distorted eyes, with double 
vision. Starting up suddenly from sleep, [Bell.] *Mutter- 
ing, with picking at bed-clothes. Involuntary stools and 
urine. 

OPIUM. Lethargy, with stertorous breathing, eyes half 
closed. Stupefaction after waking, * Delirious talking, eyes 
wide open. Face purplish and swollen, [see Cicu.] *Acute- 
ness of hearing, [Verat v.] Fearfulness and tendency to 
start. After grief, fright, or violent mental emotions. 
*Stools round, hard, black balls. 

STRAMONIUM. He does not notice objects around him. 
Stupefaction of the senses. *Loquacious delirium, with 
desire to escape, [Bell. Opi.] *Awakens with a shrinking 
look, as if afraid of first object seen. Talks all the time, sings, 
makes verses. *Grinding teeth, with shuddering. Lips sore 
and cracked, and sordes on teeth. Glistening eyes and staring 
look. 

VERAT. VIR. Congestion to head from high living or 
abuse of stimulants, [Nux v.] *Great fullness in head, 
throbbing arteries, [see Bell.] *A red streak down the centre 
of tongue. Increased sensitiveness to sounds. Dimness of 
vision, with dilated pupils. Slow pulse, [Opi.] Meningitis 
following sunstroke. 

AUXILIARY MEASURES. Choose cool, airy room, 
remote from noises. Exclude all persons not needed. 
Keep room quiet as possible ; avoid whispering. Apply 
warm fomentations to head, covering it well and changing 
often. Keep extremities warm with bottles of hot water. 
Use little restraint to control patient. For restlessness 
and inability to sleep, give warm baths and wrap in dry 
sheet, without rubbing. 

DIETETICS. In febrile state, only thin gruel, toast- 
water, acid-diluted drinks, and pure fresh water. Later, 
beef-tea, broths, milk and light puddings of farina, corn- 
starch, rice, etc. 



MENORRHAGIA. 189 

MENORRHAGIA. 

{Profuse Menstruation.} 

THERAPEUTICS. Leading indications. 

ACONITE. Adapted to plethoric females and young girls, 
[cachectic subjects, Chin. Croc. Sec] *Profuse menses, with 
great anxiety and fear of death. *Vertigo on rising from a 
recumbent position. If induced by exposure to dry, cold 
wind. 

AMMO. CARB. Premature and profuse menstruation, 
with spasmodic pain. *Nose bleed when washing face in 
morning. Discharge blackish or light- color ed ; acrid, making 
the thighs sore. Great sadness, and pain in small of back. 

BELLADONNA. Too early and profuse, [Bry. *€alc c. 
Cimi. Phos.] Discharge bright-red, imparting a sense of heat. 
*Violent pressing down, as if everything would escape 
through genitals, [Nit. ac. Plat. *Sep.] *Throbbing head- 
ache, and pain in small of black. Clutching pain in bypo- 
gastrium, with screaming, and disposition to bite and tear 
things. 

BRYONIA. Too early and profuse. * Discharge dark- 
red, with lacerating pains in limbs, [see Cham.] Pain in 
back, and headache as if the skull would split. Cannot sit 
up on account of nausea andfaint?iess. * Wants to remain quiet 
and still, the least motion makes her worse. *Stools hard 
and dry, as if burnt. Very irritable, everything makes her 
angry. 

CALC. CARB. Menstruation too soon, too profuse, and 
lasting too long, [Croc. Ign. Phos.] Profuse menstruation 
during lactation. Preceding the now, there is swelling and 
sensitiveness of the breasts, headache, colic and shiverings. 
During the flow, cutting in the abdomen, toothache and 
bearing down. *Vertigo when stooping, worse on rising or 
going up-stairs. *Feet feel as if they had on cold, damp 
stockings. Sensitive to leatt cold air. 

CHAMOMILLA. *Profuse discharge of dark and clotted 
blood, flowing at intervals. * Violent labor-like pains in 
uterus, and tearing in veins of the legs. Very impatient, can 
hardly answer a civil question. Frequent desire to pass urine. 
CIMICIFUGA. Too early and profuse. Discharge dark 
and coagulated, [Cham. Croc] *Severe pain in back and 
down the thighs, [Bry.] Aching across the hips, and press- 
ing down in the uterus. Great nervousness, and hysterical 
spasms. Severe pains in head and eyeballs, increased by 
least motion. 

COCCUS CACTI. * Menorrhagia only in evening when 
lying down, never when stirring about. Sharp pains in 
lower part of abdomen, first in right side, then in left. Site 
passes enormous black clots from the vagina. Uurging to 
pass water. 



190 THERAPEUTIC KEY. 

CROCUS SATI. Menses regular, but too profuse and long- 
continued. "^Discharge dark, clotted, stringy blood. *The 
least movement increases the flow. Yellowish, earthy color 
of face, [Sep.] *Sensation as of something moving in abdo- 
men, [Sabi.] Great debility and palpitation of heart on 
going up-stairs. 

IGNATIA. Too frequent, profuse, and long-lasting. *The 
patient seems full of suppressed grief. * Frequent sighing, 
with a feeling of emptiness in stomach. Difficult stool, caus- 
ing prolapsus ani. Cold hands and feet; also numbness of 
feet and legs. 

IODITJM. Menses premature, copious and violent, with 
great weakness. Discharge preceded by heat in head and 
palpitation of heart. *Ovarian region painful, or sensitive- 
ness to pressure. *Emaciation, with a good appetite. Hard, 
knotty, dark-colored stools. 

KRS0S0TE. Menses too early, profuse, and protracted. 
*The flow intermits; she thinks she is almost, well, when 
the discharge reappears, [Nux v. Sulph.] Discharge black, 
in large quantities, very offensive, corrosive itching and 
smarting of the parts. Climacteric period, [Puis. Sep. Us- 
tila.] 

NUX MOS. Menses too early and too profuse, with dis- 
charge of thick, black blood, [Plat ] * Tongue and mouth 
very dry, particularly after sleeping. Great pressure in 
back from within outwards during menses. ^Drowsiness 
and inclination to faint. *Pain in sacrum when riding in 
carriage. Great distension of abdomen after eating. 

NUX VOM. Menses too early and too profuse; discharge 
dark-colored blood, [Nux m.] *The flow, after continuing 
several days, stops and then returns, [Sulph.] Dragging 
about the loins, with bearing down in pelvis. *Cramp-like 
pains in abdomen extending down to thighs. *She gets 
angry and violent without provocation, [Cham.] Habitual 
constipation, with frequent urging to stool. 

PHOSPHORUS. Menses too soon, too copious, and lasting 
too long, with pain in small of back and in abdomen. Great 
weakness, with cold feet and legs. ^Sensation of weakness 
and emptiness in abdomen. *Belching up large quantities 
of wind after eating. Very sleepy after meals, especially 
after dinner. *Long, slim, hard, difficult stools. Tall slen- 
der people, with fair skin. 

PLATINA. Too long and too profuse menstruation. Dis- 
charge partly fluid and partly in clots, [*Sabi.] *Great press- 
ing down in the genitals, [*Bell. *Sep.] 

SABINA. Very prof use and debilitating menses. Discharge 
partly pale-red and partly clotted blood. *Labor-like pains 
drawing down into groin. * Drawing, tearing pains from 
back through to pubis. Plethoric women with habitual menor- 
rhagia, [see Aeon.] Great liabitity to miscarry. 

SEC ALE. Too profuse and too long continued. Discharge 



METRITIS. 191 

dark, liquid blood, increased by motion, [Croc] *A11 her 
common ailments worse just before the menses. Suitable to 
thin, scrawny women. 

SEPIA. Mostly too early and profuse. Before menses, 
violent colic. * Painful sensation of emptiness at pit of 
stomach. *Fetid urine, having a sediment like burnt clay. 
Yellow spots on face, especially across nose. *Prolapsus uteri 
et vaginae, [Merc] *Sensation as if everything would 
escape through vagina, [*Bell.] Icy-cold feet and flushes of 
heat. 

SULPHUR. The menses last, too long. *She seems to get 
almost well, and then it returns again and again. Discharge 
acrid, corroding the thighs, and smelling sour, [offensive, 
Bell. Krec] * Flashes of heat, followed by weak, faint spells. 
*Constant heat on top of the head. 

TRILLIUM. Menses lasting too long; discharge at first 
bright-red, but grows pale, [Bell.] Between the periods, 
profuse leucorrhcea of a yellowish color and creamy consist- 
ence. *Profuse hemorrhages. 

USTILAGO. Climacteric period, [*Puls. Sep.] Flooding 
lasting for weeks. *Chronic uterine hemorrhages. Blood 
dark-colored, with many clots, and vertigo. Dull, heavy 
headache. Ovarian irritation. 

AUXILIARY MEASURES. In urgent cases, place patient 
on hard mattress in cool room, and elevate the hips. If this 
does not diminish the flow, apply piece of ice to mouth of 
uterus. This failing, bandage extremities to impede circu- 
lation, as directed under Post-Partem Hemorrhage, or plug 
vagina. 

DIETETICS. During attack, all food and drink should 
be taken moderately cold. Avoid all stimulating food and 
beverages. 



METRITIS. 

[Inflammation of the Uterus.) 

THERAPEUTICS. Leading indications. 

ACONITE. *Synochal fever. Great restlessness and fear 
of death, [Ars.] Hard, rapid pulse; hot, dry skin; intense 
thirst. Sharp, shooting pain in whole abdomen, which is 
tender to touch. High temperature. 

APIS MEL. *Sopor, interrupted by piercing shrieks. 
Great tearfulness, cannot help crying, [Puis.] * Burning or 
stinging pains in region of uterus or ovaries. Dry mouth, 
but no thirst. Urine scanty, dark. 

ARSENICUM. Great fear, restlessness, trembling, cold 
sweat, prostration. *She is sure she will die, [Aeon." 
*Edge of tongue red, showing imprint of teeth, [see Merc 
Burning, throbbing, lancinating pains ; burning like fire, [Aeon. 



192 THERAPEUTIC KEY. 

Cold water aggravates her symptoms. She wants to be 
covered up, is better from warmth. 

BELLADONNA. Delirium ; she is afraid of imaginary 
things, and tries to escape or hide herself. Throbbing head- 
ache, with heat and red face. *Clutching or clawing pains, or 
transient stitches in uterine region, parts sensitive, cannot 
bear least jar. ^Pressure towards the genitals, as if every- 
thing would issue through vulva. Menstrual or lochial dis- 
charge suppressed or very offensive. Involuntary flow of urine, 

BRYONIA. Very irritable, wishes to be alone, [Nux.] 
*Head aches as if it would split open, [Bell. Puis.] Severe 
stitching pain in region of ovaries on taking deep inspira- 
tion. *Sitting up in bed causes nausea and faintness. 
^Sufferings all worse from the least motion. Lips parched, 
mouth dry and great thirst. 

CANTHARIS. Dissatisfied with every one and everthing, 
says she must die. ^Burning sensation in throat, it feels 
" on fire." Violent pinching pains, with bearing down 
towards the genitals, [see Bell.] Swelling of neck of uterus. 
Inflammation of the ovaries, [Apis. Bell.] ^Constant desire 
to urinate, passing only a few drops at a time, sometimes 
mixed with blood. Great thirst. 

COLOCYNTH. Metritis following violent indignation. 
*Severe colicky pains, bends double, with great restlessness. 
*Feeling as if the intestines were squeezed between stones. 
Great distension of bowels. 

HYOSCYAMTJS. 'Metritis, typhoid state. Stupor, un- 
consciousness, and silly expression. 'Jerking of limbs and 
twitching of muscles of face. *She throws off the covers, 
and wishes to be naked. 

MERCURIUS. Continuous moaning and groaning, [Bell. 
Lach.] *Head feels as if it would burst, with fullness of 
brain. Moist, soft tongue, showing imprints of teeth, [see Ars.] 
'Stitching, aching, or boring pains in uterus, with little heat, 
but frequent sweats and chills. 

PULSATILLA. Mild, gentle, tearful, yielding, timid, [Sep.] 
Semi-lateral headache, [Bell. Lach. Nux v.] Tensive cut- 
ting pain in uterus, which is very sensitive to touch. *Sup- 
pression of menses or lochial discharge, [Sec] Bad taste 
in mouth, no thirst, frequent chilliness. Nightly diarrhoea, 
and scanty urination. 

RHUS TOX. Anxiety, timidity; worse at twilight; rest- 
less change of place, cannot lie still. Slow fever, with dry 
tongue having a red tip. 'Pains worse at night, especially 
after midnight. Metritis, particularly after confinement, [Plat. 
Sabi.] Milk-leg. 

SECALE. Strong tendency to putrescence, [Kreo.] 'Discharge 
from vagina brownish, v£ry offensive. The inflammation 
seems to be caused by suppression of lochia or menses, 
[Puis.] Burning, hot fever, interrupted by shaking chills. 
Vomiting decomposed matter. Offensive diarrhoea. 



METRORRHAGIA. 193 

For other remedies and indications, see Puerperal Peri- 
tonitis. 

AUXILIARY MEASURES. Absolute rest in horizontal 
position. Hot water injections into vagina several times a 
day, using fountain syringe, throwing constant stream on 
cervix for half an hour, very beneficial. Tti metritis caused 
by fragments of placenta or retained lochia, intra-uterine 
injections of Carbolic acid, [5 drops to ounce of water] should 
be used. Hot poultices or fomentations to abdomen, valuable 
in relieving pains. 

DIETETICS. In acute stage, thin gruel, rice-water and 
mucilaginous drinks. Later, milk, beef-tea, broths, soft- 
boiled eggs, toast, etc. 



METRORRHAGIA. 

( Uterine Hemorrhage. ) 

THERAPEUTICS. Leading indications. 

ACONITE. Persons of full habit, especially young girls, 
[climacteric period, Puis. Sep. *TJstila.] 'Active hemor- 
rhage, with fear of death. Very restless and anxious. So 
giddy, she cannot sit up in bed. 

BELLADONNA. Plethoric women, [Aeon. Sabi.] Violent 
pains in small of back, as if it would break, [as if broken, 
Phos.] 'Profuse bright-red blood, which feels hot to the 
parts. Violent pressure downward, as if* everything would 
escape through the vulva. The blood sometimes has a bad 
smell. Palpitation of the heart. 

CHAMOMILLA. Hemorrhage of dark, coagulated blood, 
with labor-like pains, [Cimi.] Tearing pains in legs, [Cimi. 
Hyos.] Frequent discharge of large quantities of colorless 
urine. 'Very impatient, everything seems to go slowly. 

CHINA. After miscarriage or labor, and in dangerous 
cases, [*Ipe. Sabi. *Sec] Discharge of dark clots. * Heavi- 
ness of head, ringing in ears, loss of sight, and fainting, 
Sudden weakness, coldness of extremities, and pale face. 
Wants to be fanned, but not too rapidly. 'Debility and other 
troubles after loss of much blood. 

CROCUS. After miscarriage or labor, or from over- 
exertion, [Chin.] * Discharge of dark, stringy blood, worse 
from the least exertion. 'Sensation as if something alive in 
the abdomen, [*Sabi. Sulph.] Passive hemorrhage in nervous, 
hysterical women. 

FERRTJM. Weakly persons of hemorrhagic tendency, 
[Ham. Sec. Ust.] 'Frequent discharges of partly fluid ami 
partly black-clotted blood, [Sabi.] with violent labor-like 
pains. 'The least emotion or exertion produces a red. 
flushed face. Frequent short shudderings ; headache and 
vertigo. 
9 



194 THEEAPEUTIC KEY. 

HAMAMELIS. ^Protracted uterine hemorrhage, arising 
from loss of tone in blood-vessels of uterus. ^Hemorrhage 
after abortion or labor, blood dark, having blackish clots 
mixed with thin, watery blood, [Sabi.] The discharge 
ceases or is better at night. 

HYOSCYAMUS. Flooding attended with labor-like pains 
in uterus, drawing in thighs and small of back. Bright-red 
blood continuing to flow all the time, [Ipe.] Trembling 
over whole body, or numbness of limbs. *Twitching or 
jerking of a single limb. 

IPECAC. *Continuous flow of bright-red blood; patient 
gasps for breath. Cutting pains around navel. Great pres- 
sure and bearing down. Chills and coldness of body. 
Great weakness and inclination to vomit. After parturition 
or miscarriage, [*Sabi. *Sec] Very impatient. 

PULSATILLA. Labor-like pains alternating with hemor- 
rhage. *The discharge is arrested for a little while, then 
returns with redoubled violence. *There is want of action 
in the uterus, [*Sec] Palpitation of heart; suifocating, 
fainting spells, and disposition to shed tears. 

SAB IN A. Forcing or dragging pains extending to back 
and loins. Profuse discharge of bright-red blood, [Bell ] 
Feeling of sinking or faintness in abdomen. *Sometimes 
the discharge is dark, having blackish clots mixed with thin 
watery blood. Pains extending from back through to pubis. 

SECALE. *Passive hemorrhage in feeble cachectic 
females. After parturition or miscarriage. *VVant of 
action in the uterws, [*Puls.] *Discharge of dark liquid 
blood, with little or no pain. Coldness of the extremities, 
pale or sallow face, small feeble pulse. Desire to be un- 
covered, worse from warmth. 

SEPIA. Induration of neck of uterus, with spasmodic 
painful pressure over sexual organs. Chronic metrorrhagia, 
when it is excited from least cause. Yellow complexion, 
with spots on face. *Painful sense of emptiness in abdo- 
men. Fetid urine, depositing a clay-colored sediment 
which adheres to the vessel. 

SULPHUR. Frequent attacks of hemorrhage; she seems 
to get almost well, when it occurs again and again, [Nux v.] 
^Constant heat in top of the head, and cold feet. Frequent 
weak, faint spells and flushes of heat. Gets very hungry 
about 11a. m. 

USTILAGO. *Persistent or continuous hemorrhage of 
brownish blood, with want of uterine contraction, [Sec] 
*Chronic metrorrhagia and passive congestion, [Sep.] 

Consult: Am. Caulo. Eriger. Millef. Phos. Plat. Trill. 

AUXILIARY MEASURES. Place patient on hard mattress 
in cool room, and enjoin perfect quiet. Lower head and 
elevate hips. In urgent cases, apply lump of ice to mouth 
of womb, or tampon vagina. Take a soft handkerchief, 
insert first one corner, then, folding it on itself, introduce 



MISCARRIAGE, ABORTION. . 195 

the whole, allowing one end to protrude. Remove in ten or 
twelve hours. This failing, bandage extremities as advised 
under Post-Partem Hemorrhage. 

If hemorrhage is due to inefficient uterine contractions, 
grasp fundus of uterus, and make firm pressure downwards, 
while with the fingers of other hand in vagina irritate cervix. 
This failing, inject hot water, [110° F.] into the uterus. 



MISCARRIAGE, ABORTION. 

The expulsion of the foetus prior to the seventh month, is 
called miscarriage. If occurring after that period and before 
the ninth month, it is called premature labor. It most fre- 
quently occurs between the eighth and twelfth week of 
gestation. When it has once taken place it is extremely 
liable to recur in subsequent pregnancies about the same 
period. 

THERAPEUTICS. Leading indications. 

ACONITE. Threatened miscarriage in consequence of 
fright, the fear still remaining. * Hemorrhage, with fear of 
death. Great fear and anxiety of mind, with great nervous 
excitability. Dizziness on rising from a recumbent position. 
Feverish restlessness. 

ARNICA. After a fall, blow or concussion, especially if 
labor-pains set in, with discharge of blood or serous mucus, 
[see Cinn.] *Sore feeling all through the patient, as if 
from a bruise, [Bapt.] The bed feels too hard. 

BELLADONNA. Flushed face, red eyes, throbbing head- 
ache. Pain in back as if it would break. *Severe bearing 
down, as if everything would issue through vulva, [Sep.] 
Profuse discharge of bright red blood, [Cinnamon.] *Pains 
come on suddenly and leave as suddenly. * Vertigo when 
stooping, or when rising from a stooping posture. Great 
intolerance to light or noise, [Aeon] 

CALC. CARB. Scrofulous diathesis. She has heretofore 
suffered from too early and too profuse menstruation. Very 
weakly in general; walking produces great fatigue ; she is 
out of breath when going up-stairs. When standing, a 
pressing down, as if everything would issue through vulva, 
[*Bell.] *Her feet feel cold and damp. * Vertigo when 
ascending a height. 

CANTHARIS. Threatened abortion from congestion or ulcera- 
tion of the cervix uteri. Retention of placenta. * Constant 
desire to urinate. 

CAULOPHYLLTJM. *Threatened miscarriage, with severe 
pains in back and loins, but uterine contractions feeble; 
slight flow. *Want of action in the uterus, [Puis. *Sec] 
Ptotratttd lochia. 

CHAMOMILLA. Periodical pains resembling those of 
labor, with discharge of dark- colored or coagulated blood. 



196 THERAPEUTIC KEY. 

*Violent pains in the bowels, extending to the sides, with 
frequent urination. Becomes almost furious about her pains. 
[Aeon.] *Very impatient, snappish and cross. Hot per- 
spiration about the head. 

CHINA. Weak and exhausted persons from loss of 
animal fluids, [Phos. ac] After miscarriage, when there is 
hemorrhage unto fainting; giddiness, drowsiness and loss 
of consciousness. *Heaviness of head, ringing in ears, and 
coldness of extremities. 

CINNAMON. Threatened miscarriage after a false step, 
or strain in loins, [Rhus.] *The chief symptom is a profuse 
flow of red blood, [Bell. Ipe.] Itching of nose and nightly 
restlessness ; she tosses about even during sleep. 

CROCUS SATI. Especially where the discharge consists 
of dark, stringy blood, which is increased by the least exertion. 
*Sensation as if something were alive in the abdomen. 
[Sabi.] Mostly after miscarriage. 

FERRUM. After miscarriage, when there is a discharge 
of partly fluid and clotted blood, with labor-like pains. 
*Least emotion or exertion produces a red, flushed face. 
Hemorrhagic tendency. 

HYOSCYAMUS. Miscarriage attended with spasms or con- 
vulsions of whole body. Discharge of light-red blood, with 
labor-like , pains. *Twitching and jerking of single mus- 
cles or limbs, [Chin.] Adapted to hysterical subjects, [Ign. 
Nux m.] 

IGNATIA. Suppressed grief seems to have been exciting 
cause. *Sadness and sighing, with an empty feeling in 
stomach. Uterine cramps with cutting stitches. *Difncult 
stools causing prolapsus ani. 

IPECAC. * Profuse and continuous discharge of bright- 
red blood, with pressure downward, [Bell.] Gutting pains 
around navel. * Continual nausea, without a moment's relief. 
Disposition to faint. 

NUX MOS. Hysterical females, [Ign.] Pressure in the 
abdomen, and drawing down into the legs from the navel; 
discharge dark and thick, [dark liquid, Sec] Great drowsi- 
ness and inclination to faint. 

NUX VOM. *Every pain produces a desire to go to stool, 
or to urinate. Writhing pains in abdomen, accompanied by 
nausea, or pains in back and loins as if dislocated. *Very 
irritable, and wishes to be alone. High livers; sedentary 
habits. 

PULSATILLA. Labor-like pains alternating with hemor- 
rhage. *The discharge is arrested for a little while, then 
returns with redoubled violence. Suffocative spells; she 
craves fresh air, worse in a close, warm room, [Sec] in- 
clination to be chilly, even in a warm room. Retention of 
after-birth, [Caul. *Sec] 

RHUS TOX. *If a wrench or a strain is the exciting 
cause, [Cinnamon.] Pains worse in the latter part of the 



MUMPS. —PAROTITIS. 197 

night and during rest; has to change position often to get a 
little temporary relief. 

SABINA. Threatened abortion in early months. Violent 
forcing or draggingpains extending from back to pubis. dis- 
charge profuse, consisting of bright-red, partly fluid and 
partly clotted blood, [Ferr.] Feeling of sinking or faintness 
in abdomen. Women who habitually miscary at third month. 

SECALE. Threatened abortion in later months. Especially 
after miscarriage. *Oopious flow of black, liquid blood, 
worse from slightest motion, [see Croc] *Passive hemor- 
rhage in thin, scrawny, cachectic women. Want of action in 
uterus, [*Caul. *Puls.] Great debility, feeble, almost 
extinct pulse. 

AUXILIARY MEASURES. In threatened abortion, place 
patient on hard mattress with light covering and enjoin per- 
fect quiet. Keep room cool and well ventilated, and exclude 
all visitors. Give indicated remedy and watch patient closely. 
Jf hemorrhage is profuse, treat as directed under ** Metor- 
rhagia." Should miscarriage take place, remove any frag- 
ments of ovum or placenta that might remain behind and cause 
secondary hemorrhage or septisagmia. With one hand make 
pressure over the uterus, and with the finger of the other 
endeavor to extract the offending object. This failing, use 
placental forceps. 

DIETETICS. The diet must be of the simplest kind, and 
taken moderately cool. All stimulating food must be avoided. 



MTJMPS.-PAIIOTITIS. 

THERAPEUTICS. Leading indications. 

BELLADONNA. Redness of face and eyes. *Bright-red 
swelling of glands, especially on right side, [dark-red 
swelling of left side, Rhus.] Tendency to erysipelatous 
inflammation of the parts. *Sudden disappearance of 
swelling, with throbbing headache and delirium. *Sleepi- 
ness, but cannot sleep. 

CARBO VEG-. Slow grade of fever ; the swelling becomes 
very hard and will not disperse as it should. * Metastasis 
to stomach, with burning, pressure, and sensitiveness of 
epigastrium, After abuse of calomel. *The most innocent 
food disagrees. 

HYOSCYAMTTS. If the disease be transmitted to brain. 
Unconscious delirium, red face, wild, staring look, throbbing 
carotids, [Bell.] * Twitching and jerking of limbs, with 
great, nervous excitability. Giddiness, with stupefaction. 

MERCURIUS. If the disease was induced by a cold. 
Erethic fever, with alternate heat and chilh. *Hard swelling 
of gland, with stiffness of jaws and difficulty of swallowing. 
*Perspiration, affording no relief. * Profuse secretion of 



198 THERAPEUTIC KEY. 

saliva, and very offensive breath. Dark-green or slimy 
stools with severe tenesmus. All worse at night, and in damp 
weather. 

PULSATILLA. When there is metastasis to female 
mammae, [to testicles, Ars. Carb. v.] Inflammation and swelling 
of testicles, with drawing pain extending up spermatic cords. 

* Vertigo on rising from sitting posture, with chilliness. 

* Thickly-coated tongue, with bad taste in morning. Mild, 
tearful disposition. 

RHUS TOX. If typhoid symptoms set in, or imflamma- 
tion assumes an erysipelatous character. Lameness and stiff- 
ness of limbs, with pain on first moving them after rest. * Paro- 
titis after scarlatina, with dropsical symptoms, [Ars. Chin.] 
*Restless at night; must turn often to find a moment's 
ease. 

AUXILIARY MEASURES. Where the inflammation and 
swelling is very considerable, hot fomentations to the parts 
will be found very beneficial. Wnen suppuration is inevit- 
able, poultices made of linseed meal should be applied, and 
when the abscess points should be opened with a lancet. 

Great care should be observed during convalescence to 
avoid taking cold, as the disease is very liable to be transmitted 
to the testicles or female mammas, and seriously complicate 
the case. 



NEPHRALGIA.— COLICA EENALIS. 

THERAPEUTICS. Leading indications, 

BELLADONNA. Spasmodic, crampy, straining along 
ureter to bladder. Retention of urine, it passing off only in 
drops ; ichen heated deposits a cloud of phosphates. 

CxlNTH ABIDES. Pressing pain in kidneys, extending 
along ureters to bladder, \_dragging pain along ureters, with 
(.missions in drops of burning, bloody urine, Cann. in.] 
Mucous sediment in urine, [purulent, Lye. Nux.] 

LYCOPO. Renal colic, right side, [Bell.] Frequent 
urging to urinate, passing red sand with the urine, *Pain in 
back previous to every urination. 

NUX VOM. Pain, especially in right kidney, extending 
to genitals and right leg. ^Spasmodic contraction of sper- 
matic cords, the testicles being drawn up. Nausea, vomit- 
ing, and tenesmus of bladder, ineffectual urging to stool, 

[Lye] 

OCIMUM CANUM. *Renal colic, with violent vomiting. 
Moans, cries, and wrings his hands. After the attack, red 
urine, with brick-dust sediment, or discharge of blood with 
the urine. 

OPIUM. Pressing, squeezing pains, as though something 
had to force its way through a narrow space. Shooting 
pains in bladder and testicles. Vomiting slime and bile. 



NEPHRITIS. 199 

Great anxiety and restlessness. * Slow pulse. *Bed feels 
too hot. 

PHYTOLACCA. Dull pain and soreness in region of kid- 
neys, most on right side, [Bell. Lye] *Great uneasiness 
down ureters; chalk-like sediment in urine. 

TABACUM. Violent colicky pains in region of ureters. 
*Constant deadly sickness of the stomach and retching, with, 
cold perspiration, [Verat. a.] 

AUXILIARY MEASURES. Hot fomentations to the loins 
and abdomen; hot siiz baths; copious injections of hot water 
into the bowels, valuable. In urgent cases, small injections 
of clear starch containing 20 or 30 drops of Laudanum may 
be given, and in very urgent cases, where Opium is contra- 
indicated, inhalations of Chloroform may be resorted to. 

DIETETICS. Persons subject to renal calculi should live 
upon simple digestible food, for most part vegetable. A little 
meat two or three times a week, may be eaten if necessary 
to preserve the strength. All highly seasoned food and 
alcoholic drinks must be avoided. Pure soft water may be 
taken ad libitum. 



NEPHRITIS. 

{Acute inflammation of the Kidneys.) 

THERAPEUTICS. Leading indications. 

ACONITE. In early stage, high fever, evinced by hot, dry 
skin, quick pulse and intense thirst. *Retention of urine, with 
stitches in kidneys. *Fear and anxiety of mind, with great 
nervous excitability. *So giddy, cannot sit up. 

BELLADONNA. Shooting pain from kidneys to bladder. 
*Pains which appear and disappear suddenly. *Sensation 
as of a worm in bladder, [of a ball, Lach.] Urine scanty, of 
a bright-red or yellowish color, depositing a whitish, thick 
sediment, Heat and swelling in region of kidney. *Back 
feels as if it would break, hindering motion. 

BERBEBIS. * Smarting burning in region of kidneys, 
[Tereb.] Bloody urine, which settles at bottom of chamber 
in a cake, [Mille.] Transparent jelly-like mucus passed with 
urine, followed by great exhaustion. * Albuminous urine, [Apis. 
Helon. Ocimum c. Tereb.] Pain in loins and hips. 

CANNABIS. Inflammation of kidneys, with dragging or 
shooting pains along ureters to groin, [Berb. Canth. Lye] 
Painful urging to urinate, passing only a few drops of bloody, 
burning urine, [Canth.] Burning during and after mictur- 
ition. 

CANTHARIDES. Burning heat, with thirst and anxiety 
Shooting, cutting or tearing pains in loins and region of 
kidney. *Constant desire to urinate, passing but a few drops 
at a time, sometimes mixed with blood, [Merc.] Burning, 



200 THERAPEUTIC KEY. 

cutting pains in bladder, with ineffectual efforts to urinate. 
*Vomiting, with violent retching and severe colic. 

COCCUS CACTI. Nephritic colic, with copious urine and dull 
pain in urethra. *Sudden acute cutting pains, extending 
from left renal region along ureters into bladder. Bruised 
pain in sacro-lumbar region and in groins. Urine deep 
colored, with sediment color of brick-dust, which adheres to 
the vessel. The urine also contains mucus in the form of 
filaments and flocks. 

HEPAR SULPH. Where suppuration has occurred, or 
abscess is imminent, [Lye. *Merc. Sil.] *Sensation of 
throbbing in region of the kidney. Feeling of weight in 
the loins. Alternate chilliness and heat, followed by pro- 
fuse perspiration. 

LYCOPO. *Renal colic, the pain is felt along ureters into 
bladder, especially right side. *Red, sandy sediment in 
urine, [Phos. Sep.] Cutting pain across hypogastrium, from 
right to left. * Terrific pain in back previous to every urina- 
tion, with relief as soon as urine begins to flow. 

MERCURIUS. For a similar train of symptoms as are 
described under Hepar., and where that remedy does not 
produce the desired improvement. Urine scanty and red, 
with strong smell. *Much perspiration, affording no relief. 

1TUX VOMICA. Persons of sedentary habits, or where 
disease arises from suppressed piles. Pain in small of back 
so bad he cannot move. *Painful desire to urinate, with 
scanty emissions in drops, with burning pains. Reddish 
urine, with brick-dust-like sediment, [Aeon. Serb. Nux. 
*Puls.] *Constipation of hard, difficult stools, and frequent 
urging. 

PULSATILLA. Persons of a mild, tearful disposition, or 
females with scanty or suppressed menses. Aching pain in 
small of back. *Frequent and almost ineffectual urging to 
urinate, with cuttii g pain. Pale watery urine, with jelly-like 
sediment, [Berb. Phos. ac] Chilliness even in a warm room. 
Headache, relieved by compression. *Craves cool fresh air, 
worse in a warm room. Bad taste in the morning, *Vertigo 
when rising from a seat. 

SULPHUR. In chronic cases where only partial relief 
has been obtained by other remedies. ^Burning and draw- 
ing pain in small of back. Pulsative stitches in region of 
kidneys. Painful desire to urinate; discharge of drops of 
bloody urine. * Very fetid urine, [Merc. Sep.] Frequent 
weak, faint spells. ^Constant heat on top of head. 

TEREBINTHINA. Burning, drawing pains in kidneys. 
Pressure in bladder, extending up into kidneys when sitting, 
disappearing when walking about. ^Difficult urination, 
with burning in bladder, [*Cann. *Canth.] * Blood is 
thoroughly mixed with urine, like coffee-grounds sediment. 

Nephritis arising from abuse of Spanish fly-blister will 
be relieved by Camphor in drop doses. 



NEURALGIA. 201 

AUXILIARY MEASURES. Absolute rest in recumbent 
posture. If there is severe pain and inflammation, apply 
hot fomentations or poultices to loins. Gum-bags partly filled 
with hot water or heated salt-bags afford great relief. 

DIETETICS. During active stage, thin gruels, rice-water 
and acidulated drinks. Later, milk, broths, toast, light 
puddings, ripe fruits, etc. 



NETJEALGIA. 

THERAPEUTICS. Leading indications. 

ACONITE. Red and hot face, with pain on one side. 
*Pains so severe patient becomes desperate and declares 
something must be done, [Cham.] *Great fear and anxiety, 
with vertigo on rising from a seat, [Puis.] Pains worse at 
night, with great restlessness. 

ARSENICUM. Periodical attacks, chiefly around eye and 
in temples. *Burning, stinging pain, as if pierced with 
red-hot needles. Pain insupportable, especially at night, 
[Aeon. Cham. Coff.] Great fear and anxiety of mind, with 
extreme restlessness, [Aeon.] Aggravation about midnight. 
Temporary relief from external heat, and from moving 
about. 

BELLADONNA. Pain most violent under eye, excited by 
rubbing the part, [by contact, Chin. Colo. Phos.] *Violent 
shooting or tearing pains in eye-ball. *Darting pains in 
cheek-bones, nose, or zygomatic process. Cutting, tearing 
pains, with stiffness at nape of neck, and clinching of jaws. 
*Convulsive jerkings in facial muscles. *Great intolerance 
to noise or light, [Aeon.] Aggravation in afternoon. 

CAUSTICUM. Tensive or beating pains in facial bones, 
especially under the eye. *Dra\ving pains on right side, 
from cheek-bone to temple, [see Hep.] Obstinate constipa- 
tion and hemorrhoids. *Involuntary urination when cough- 
ing, [Puis. Verat.] 

CEDRON. *Periodical attacks, [Ars. Chin. Spig.] Pains 
worse during menstruation, and after coition. Flying heat in 
face. 

CHAMOMILLA. Stitching, jerking pains that seem intoler- 
able, especially at night, [see Ars.] *The pain causes hot 
perspiration about head, and extorts cries. * Very impatient, 
can hardly answer a civil question. Great sensitiveness to 
pain, becomes furious. 

CHINA. Periodical attacks, [Ars. Spig.] * Darting, tear- 
ing; pains, aggravated by the least contact. Ringing in ears, 
[Nux.] Pain mostly in the infra-orbital and maxillary 
nerves. *Exacerbation every other day. Weakly persons 
who have lost much blood. 

CIMICIFTJGA. Intense and persistent pains in eye-balls, 
of a dull, aching, sore nature. Sensation as if top of head 
9« 



202 THERAPEUTIC KEY. 

would fly off; the cerebrum feels too large for skull, pressing 
outwards and upwards. 

COLOCYNTH. Neuralgia chiefly on left side of face, [Mez. 
Sep. Spig.] * Violent rending and darting pains, aggravated 
by touch or motion, [Chin. Phos. Spig.] Tearing, screwing 
pains, together with great restlessness and anxiety. Better 
from perfect rest, and from warm applications. If caused 
by anger. 

GELSEMITJM. Throbbing pain in medulla passing through 
mastoid to forehead and eyes. Great heaviness of eyelids, 
cannot keep them open, [Rhus. Sep.] Dimness of vision, 
and confusion of mind. 

HEPAR STJLPH. Pains in malar bones, extending to ears 
and temples, [Mez. *Puls.] Worse when in open air, and 
better from wrapping up face. Fluent coryza, with hoarse- 
ness and much sweating. After abuse of mercury. 

IRIS VERS. Neuralgia of head, eyes and temples. Begins 
every morning with a stupid, stunning headache, *Sharp, cutting 
pains of short duration, with vomiting a sweetish mucus. 
Burning distress in epigastrium. Profuse flow of saliva. Ag- 
gravation from rest, [Rhus.] 

MERCTJRIUS. Tearing pains, worse at night in bed. 
*Pain starts in a decayed tooth, and involves the whole side 
of face, [Staph.] Profuse ptynlism and lachrymation. 

* Much perspiration affording no relief, [affords relief, Verat.] 
If caused from cold. 

MEZERETJM. Chiefly on left side of face, [on right side, 
Puis. Verat. Zinc] The paina extend to eye, temple, ear, 
neck, and shoulder. *Boring, pressing pains, coming like 
lightning, leaving parts numb, [Verbas.] Aggravated by 
taking warm food or drink, or from entering a warm room 
after being in open air. 

NUX VOMICA. Drawing, tearing, or compressive pains, 
chiefly in forehead or in the part just above root of nose. 

* Tearing pain in facial and infra-orbital nerves, [see Zinc] 
Numbness of affected part. Redness and lachrymation of 
the eyes. Fluent watery discharge from nose. Constipation, 
with frequent urging to stool. *Very irritable, and wishes 
to be alone, [Chin.] Aggravation in morning, and from 
mental exertion. 

PHOSPHORUS. Drawing and tearing pain in jaws, root 
of nose, eyes, and temples. Face swollen and pale. Vertigo, 
and buzzing in ears. ^Sensation of weakness and emptiness 
in abdomen. *Long, narrow, hard stools, difficult to expel, 
[Caust. ] Aggravation from chewing, talking, or touching 
affected parts. 

PLATINA. Severe spasmodic or boring _ am in cheek- 
bones, with a sensation of crawling in the parts, [Nux.] 
*The attack is preceded by a feeling of coldness and torpor, 
[Lye] Anxiety, weeping, and palpitation of heart, [Puis.] 



NF.URALGIA. 203 

Redness of face and lachrymation. Aggravation in evening 
and during rest. 

PULSATILLA. Mostly on right side of face and head. 

* Darting, tearing pains extending from jaw to orbit and 
temple. *Profuse lachrymation from affected eye, [Merc. 
Nux v.] Chilliness even in a warm room. Disposition to 
weep and complain , [Ign. Sep.] Aggravation towards evening 
and in warm room. Better from cold and worse from warm 
applications, [reverse, Ars ] 

RHUS TOX. Drawing, burning, tearing pain in malar 
bones, root of nose and ear. *Pain aggravated by rest, 
must move continually to get a little relief, [better from 
rest, Aeon. Bry. Merc] Worse at night, particularly after 
midnight, and in wet weather. 

SEPIA. Drawing or cramp-like pains in facial bones, 
mostly on left side. Sensation of emptiness in stomach. 

* Yellowness of face, particularly across bridge of nose, 
resembling a saddle. *Sense of great weight in anus, not 
relieved by stool. Especially during period of gestation. 

SPIGELIA. Periodical, mostly on left side. * Pains 
darting or burning, especially in cheek-bones, eyeballs, and 
above the eye, [Bell.] 'Commences with rising of sun, gets 
worse until noon, then decreases until sunset. Redness of 
parts affected. Flow of water from eyes and nose. Palpita- 
tion of heart, and difficuliy of breathing. *Pains aggra- 
vated by least contact or motion 

STAPHISAGRIA. The pain starts in a decayed tooth and 
extends to eye, [Merc] Drawing, tearing pains in cheek- 
bones. Very sensitive to least impression. Cold hands and 
cold sweat in face. *Paius worse from slight and better 
from hard pressure, [Nux.] 

STRAMONIUM. Many nervous symptoms. Feels too tall. 
*Pains unbearable, driving patient to despair. Extreme 
degree of nervous erethism, with convulsive twitching of 
muscles of face. Jerking through whole body. *Delirious, 
talking continually ; eyes wide open. * Vertigo when walk- 
ing in dark. 

SULPHUR. Mostly chronic cases, or where well chosen 
remedies have not the desired effect. * After suppressed 
cutaneous eruptions. Dry, husky, scaly skin; no perspira- 
tion. *Constant heat on top of head, [coldness, Sep. Verat.] 
Frequent weak, faint spells. 

VERAT. A. Drawing, tearing pain in right side of face 
and above the ear. Sunken eyes and coldness of the ex- 
tremities. *Attacks of pain, with delirium, or driving to 
madness, [becomes desperate, Aeon. Cham. Stram.] Trem- 
bling and jerking of limbs. *Cold sweat, especially on 
forehead. 

VERBASCUM. Violent pain, jerking like lightning, or 
pressive numbing, [Mez.] The pain is excited by pressure, 
sneezing, talking, chewing, etc. Attacks recur at same hour 



204 THERAPEUTIC KEY. 

every day, and are attended with headache, vertigo, belch- 
ing and a discharge of tough saliva from the mouth. 

ZINCUM. Burning, quick stitches, and jerking along 
course of infra-orbital nerve, right side, [Chin. Nux.] 
Bluish color of eyelids and numbness of tongue. Constricted 
sensation in throat. *Constant trembling of hands, with 
coldness of extremities. *Fidgety feeling in feet, must 
move them continually, [Sticta. Taran.] 

AUXILIARY MEASURES. In some cases hot fomenta- 
tions or hot salt bags applied to the painful parts relieve the 
pain, while in other cases cold applications answer a better 
purpose. Bathing parts with Tr. Aconite or Belladonna is 
valuable in some cases. Tracing the course of the nerve 
with oil of Peppermint or oil of Cloves will sometimes give 
prompt relief. 



OPHTHALMIA." 

THERAPEUTICS, Leading indications. 

ACONITE. Purulent ophthalmia, where inflammation runs 
high; dry, hot skin and full, quick pulse. *Intense redness 
and swelling of the affected parts, attended with acute pain, 
[Bell.] Great aversion to light, *Eear, anxiety, and great 
restlessness. Flushed cheeks. 

APIS MEL. Lids dark-red, everted. *Burning, stinging, 
shooting pains. Scalding tears, profuse. *Conjunctiva in- 
jected, full of dark vessels. *Bag-like swelling under the 
eyes, [over upper lids, Kali c] 

ARGENT. NIT. Photophobia, eyes filled with mucus. 
Canthi red as blood, caruncula swollen, standing out like a 
lump of red flesh. * Bright-red granulations on lids. Lids 
crusty, swollen, thick. 

ARSENICUM. Inflammation of conjunctiva and sclero- 
tica ; dark redness and congestion of vessels. *Burning pains ; 
the parts burn like fire, [Aeon.] Inflammatory swelling of 
the lids. Specks or ulcers on cornea, [Calc. c. Euph. Sulph.] 
*Nightly agglutination of the lids. Great anguish and rest- 
lessness. *Intense thirst, drinking little and often. 

BELLADONNA. Acute ophthalmia, with great intolerance 
to light or noise, [Aeon.] * Vivid redness of sclerotica, with 
discharge of hot, salt tears, or great dryness of eyes. Sharp 
pains in orbits, extending to brain. Pains which appear 
suddenly, and cease as suddenly. Double vision, [Hyos. Nit. 
ac. Stram.] Throbbing headache, increased by motion. 

CALC. CARB. * Scrofulous ophthalmia, [Graph. Lye. Merc. 
Sulph.] *Swelling and redness of eyelids, with nightly 
agglutination. *Stinging pains, worse from candle-light. 
Specks and ulcers on cornea. Constant desire to keep the 
eyes in darkness. Glandular swellings of neck, and eruptions 
on hairy scalp. 



OPHTHALMIA. 205 

CHAMOMILLA. Ophthalmia of infants, especially if caused 
by exposure to cold, damp atmosphere, or if worse by every 
cold change of weather, [Dulc Merc] *Eyes agglutinated 
in morning with purulent mucus. Very irritable, nothing 
pleases. Scrofulous ophthalmia during dentition. 

EUPHRASIA. Aching pain in eyes and redness of sclero- 
tica. Vesicles, or specks and ulcers on the cornea, [see Ars.] 
*Copious secretion of mucus and tears. Swelling of the eye- 
balls. *Fluent coryza and headache. Photophobia, nicker- 
ing of the light. 

GRAPHITES. Scrofulous or chronic ophthalmia. Purulent 
secretion from balls and lids, with frequent agglutination, 
[Calc. c] Ulcers on the cornea, [on sclerotica, Merc] Eye- 
lids much inflamed and painful. Constant desire to keep eyes 
covered. *Unhealthy skin, with eruptions oozing a sticky, 
glutinous fluid, [watery fluid, Dulc] Eruptions behind ears. 

LYC0PO. Agglutination of lids at night, [Ars. Calc o. 
Puis.] ^Burning and smarting in eyes, [as from sand, 
Euph. Graph. Merc Sulph.] Scrofulous or catarrhal ophthal- 
mia. Aptness to take cold. *Red sediment like sand in 
urine. Obstinate constipation. *Constant sensation of sa- 
tiety, feels full up to throat. 

MERCURITJS. Gonorrheal, or scrofulous ophthalmia. Vio- 
lent inflammation and readness of eyes. *Cutting, burning 
pains, or pressure in eyes as if from sand. Great sensitive- 
ness of eyes to glare of fire, or light, [Aeon. Bell.] * Vesi- 
cles and pimples on sclerotica, with purulent discharge. 
Pustules and scurfs around eyes and on margins of lids. 

NITRIC AC. and HEPAR. are the best remedies for the re- 
moval of mercurial ophthalmia, following the abuse of this 
drug in syphilis and other diseases. 

PULSATILLA. Catarrhal or rheumatic ophthalmia. 
After suppressed gonorrhoeal discharge, [Merc. Nit. ac Tart, e.] 
Red n 698 and swelling of conjunctiva and lids. Burning :ind 
corrosive lachrymation. Itching burning of the eyes, with 
disposition to rub them. *Eveniug aggravation. Mild, 
tearful disposition. 

RHUS TOX. Iritis in rheumatic or gouty subjects, [Aeon. 
Bry.] Conjunctiva red, with yellow purulent discharge; 
lids agglutinated in morning. Lids much swollen and in- 
flamed. *Eyelids ©edematous, or erysipelatous, with scat- 
tered, watery vesicles. Aggravation during rest, after mid- 
night, before a storm. 

SULPHUR. Scrofulous ophthalmia. *Ttching, burning in 
eyes and eyelids, worse by moving or exposing them to light. 
Edges of lids thickineii and ulcerated. *Feeling as if sand 
were in eyes. Specks and ulcers on cornea, [see Ars.] 
* Flashes of heat, and weak, faint spells. * Burning on top 
of head. After suppressed cutaneous eruptions. 

AUXILIARY MEASURES. Keep patient in a darkened 
room, and free from all mental or emotional excitement. 



206 THERAPEUTIC KEY. 

Apply hot fomentations medicated with indicated remedy. 
In gonorrhoeal ophthalmia, and also in severe forms of 
catarrhal ophthalmia, Dr. Dudgeon and others advise a local 
solution of Nitrate of Silver, [grs. ji, aqua dest. Jj.] a small 
quantity introduced beneath the lids with a camel's-hair 
brush once a day, every two or three days. 

DIETETICS. Light puddings, farina, corn-starch, 
tapioca, ripe fruits, vegetables, etc. All stimulating food 
and drinks should be strictly avoided 



0TA1GIA.-EARACHE. 

THERAPEUTICS. Leading remedies. 

ACONITE. External ear hot, swollen, red, painfully sensi- 
tive, [Puis.] * Acute pain, caused by exposure to cold wind, 
or sudden stoppage of a chronic discharge from ear. 

BELLADONNA. Shooting pains in the ears, with hardness 
of hearing. *Great. sensitiveness to noise and light. Roar- 
ing and humming in the ears. Pain in the head and eyes, 
with heat and fullness in head. Right parotid gland swollen 
and red. 

CHAMOMILLA. Stitches in ear, especially when stoops 
ing. *Earache by spells, with tearing pain, extorting cries. 
Patient becomes almost furious about the pains ; worse in 
open air and at night. ^Children very fretful, must be 
carried all the time. 

DULCAMARA. *Earache, with nausea, buzzing in ear, 
worse at night and when still. Earache after measles, 
[Puis.] Worse from every cold change. 

MERCURITJS. Boils in external canal. # Suppuration 
imminent, [Hepar.] Ear inflamed, with stinging, tearing 
pains. * Perspires much witnout relief. Worse at night and 
in damp rainy weather. 

PULSATILLA. *Otalgia, with darting, tearing pains, and 
pulsating at night. *Severe pain in ear, continuing through 
night, with paroxysms of increasing severity. Otalgia after 



LOCAL MEASURES. A soft sponge wrung out of hot 
water and bound to the ear will often give relief. Two or 
three drops of Ether on a little cotton, inserted in the ear, 
will in most cases relieve the pain. Take the core of a 
roasted onion, insert the small end in the ear and cover with 
a compress. Put five drops of Chloroform on a little cotton 
in the bowl of a clay pipe, and blow tlie vapor through the 
stem into the aching ear — acts promptly and efficiently. 
Where an abscess forms, warm poultices, made of ground 
■flaxseed or bread and milk, will be found useful. 



OVARITIS. 207 

OVARITIS. 

THERAPEUTICS. Leading indications. 

ACONITE. After exposure to dry, cold winds, [from wet 
weather, Dule. Rhus.] During the menses, patient is chilled 
and the flow ceases, or where it results from a fright. 
Painful urging to urinate, 

APIS. Ovaritis of right side, [*Bell. — left side, Graph. 
*Lach.] *Stinging pains in ovary, which is swollen and 
tender to touch. Numbness in right side of abdomen, ex- 
tending to thigh, [see Ars.] *Cough, with soreness in left 
chest. No thirst t scanty urine. 

ARSENICUM. *Burning, drawing or stitching pains in 
ovary, with great restlessness. The pains extend to thigh, 
Which feels numb; worse from motion. 

BELLADONNA. Stitching, throbbing pains in right ovary, 
which is hard and swollen. Great heat and tenderness of 
abdomen; * cannot bear the least jar. *Constant bearing 
down as if everything would issue from vagina, [Plat.] 
Glistening eyes, red face and delirium. 

BRYONIA. Stitches in ovaries on taking a deep inspira- 
tion, [Canth.] Cannot bear least motion or touch of affected 
parts, *Suppressed menses, with bleeding of nose. 

CACTUS GRAND. Pulsating pain in ovarian region, 
*Pains extend down thighs, return periodically at same 
time each day. *Painful sensation of constriction around 
pelvis. Organic diseases of the heart. 

CANTHARIS. Stitches or pinching pains arresting 
breathing, [Bry.] *Great burning in ovarian region, 
[Plat.] Constant desire to urinate, passing but a few drops, 
often mixed with blood. Bearing down towards genitals, 
[Bell.] Neck of uterus swollen. 

CONIUM. Induration and swelling of ovary, with nausea 
and vomiting. ^Cutting pains in the parts. Dwindling of 
mammae. * Vertigo on turning in bed. Stinging in neck of 
uterus. 

HAMAMELIS. Ovaritis after a blow, [*Arn.] Diffused, 
agonizing soreness over whole abdomen. Menses irregular; 
always worse at time of menses. ^Phlegmasia alba dolens. 
Passive hemorrhages and venous congestions. 

HEPAR SULPH. * Where suppuration has occurred or 
abscess is imminent, [Lach. Merc] Throbbing pains, with 
frequent chills. Unhealthy skin. 

LACHESIS. Ovaritis of left side, [right, Apis. Bell.] 
Swelling of ovary, with drawing pressing pains. If pus 
has already formed, [Hep. Merc] Cannot lie on right side, 
or bear any pressure on uterine region. 

PLATINA. Excessive sexual desire, [Canth.] Painful press- 
ing towards the genital organs, [*Bell. Canth.] Burning in 
ovarian region, with stitches in the forehead. Profuse or 
suppressed menses. 



208 THERAPEUTIC KEY. 

PULSATILLA. After getting feet wet, menses are suppressed, 
[Dulc] Pains so violent she tosses about in all directions, 
with cries and tears. Constant chilliness. *Craves fresh, 
cool air; worse in a warm room. 

AUXILIARY MEASURES. Absolute rest in recumbent 

position. Hot fomentations to ovarian region — in some cases 
dry heat answers best. Copious injections of hot water into 
the vagina very beneficial. Where suppuration is imminent 
and abscess points to outside, apply warm flaxseed poultices. 
Usually, however, the pus finds its way through the bladder 
or rectum. 

DIETETICS. In acute stage, less patient eats the better. 
Avoid all solid food. Thin gruels, or light puddings of rice, 
farina, corn-starch, oatmeal, etc. Later, more nourishing 
diet. Beef-tea, broths, milk, soft-boiled eggs, cream-toast, 
etc. 



PARALYSIS. 

THERAPEUTICS. Leading indications. 

AliACARDIUM. After Apoplexy, [Bary. o. Caust. Nux.] 
*Great weakness or loss of memory. Sensation of weakness 
in arms, with trembling, numbness of fingers. Knees feel 
paralyzed, with stiffness and great lassitude. ^Sensation as 
of a hoop or band around the part. 

ARNICA. Paralysis from concussion, [Cicu.] hope- 
lessness and indifference. Weary, bruised feeling all through 
the patient. *Everything on which he lies feels too hard, 
[Bapt.] Knee-joints suddenly bend when standing, feet 
numb and insensible. 

ARSENICUM. Paralysis, especially of lower limbs, [Cocc. 
Gel. Nux. Rhus.] ^Trembling of limbs, particularly of 
drunkards and after lead-poisoning, [Nux.] Sensation as if 
bruised in the small of back. Great prostration, 

BARYTA CARB. General paralysis in old age, with loss 
of memory and trembling of limbs. ^Paralysis of tongue, 
with loss of speech, [Cocc. Dulc. Gel.] Weariness with 
constant inclination to lie down. 

CATJSTICUM. * Hemiplegia of face or tongue, with giddi- 
ness, [Cocc. Nux.] ^Paralysis of single nerves. Tension 
and shortening of muscles, contracting the joints and bending 
the limbs. Drawing, lame feeling in affected parts. After 
exposure to severe cold. 

CHINA. Paralysis from loss of animal fluids, or after 
arsenical poisoning, [Ferr. Nux.] Numbness of parts on 
which he lies. Pain in bones and joints as if strained. 
Worse every other day. 

COLCHICUM. After sudden suppression of sweat, par- 
ticularly foot-sweat, by getting wet. *Numbness of hands 
and feet, with prickling, as if asleep, [Phos. Sili. Stram.] 



PARALYSIS. 209 

Laming pains in arms, unable to hold anything. Tearing 
twitches, like electric shocks in one side of body, with 
sensation of numbness. 

DULCAMARA After suppressed eruptions, from cold. 
* Paralysis of upper and lower limbs and tongue. The paral- 
yzed arm feels icy cold. 

GELSEMIUM. *Paralysis of motion; muscles will not 
obey the will, and feel bruised. Tingling, pricking, crawling 
in parts. *Paralysis of lower half of body, [Caulo. Coco.] 
Trembling of hands when lifting them up. Adapted to nervous, 
hysterical females. 

IGNATIA. Paralysis after great mental emotions and 
night-watching. Hysterical paraplegia, [see Gel.] Trem- 
bling of and languor in the limbs. 

LACHESIS. Paralysis leftside, [Am. Canst. Rhus.]. *After 
apoplexy or cerebral exhaustion, [Nux.] Tingling, prick- 
ling in limbs, [Gel.] Trembling of hands in drunkards. *Mind 
worse after sleep. 

NUX VOMICA. * Numbness and paralysis of lower limbs. 
Parts cold, bluish, emaciated. Trembling all over, mostly of 
hands in drunkards, [Lach.] Especially suitable after apoplexy. 
after sexual excesses, after abuse of alcohol t after arsenical 
poisoning, or after diphtheria. 

OLEANDER. Spells of vertigo a long time before paralysis 
is developed. Numbness of upper lip. * Painless stiffness and 
paralysis of limbs. Loss of muscular power, and trembling 
of knees when standing. 

OPIUM. * Paralysis of eyelids, tongue, arms and legs. 
Numbness and insensibility of parts. *Stupefying sleep, eyes 
half open and snoring. Suitable after apoplexy, to drunk- 
ards and old people. Retention of stool and urine. 

PLUMBUM. * Paralysis of upper or lower limbs, with 
tvasting of muscular tissues, loss of motion and sensation. 
Paralysis preceded by trembling, mental derangement or 
spasm. *Stools lumpy, like sheep's dung. 

RHUS TOX. Rheumatic palsies from exposure to wet, 
strains or excessive exertions, with painful stiffness, tingling 
and numbness. *Paralysis of one side, (right,) with sensa- 
tion as if gone to sleep, [see Colch.] Paralysis of rectum 
and bladder, [Kyos. Opi.] Restless, must change position 
often. Better from warmth and motion. 

SECALE. Paralysis after spasms and apoplexy, with 
rapid emaciation of parts, [see Plumb.] Involuntary dis- 
charges of faeces and urine, [Ars. Opi. Rhus.] Spasmodic 
twitchings in the paralyzed parts. 

STANNUM. Paralysis, especially of left side, with a 
feeling of a heavy load in arm and side of chest. After 
emotions, spasms or onanism. 

For Paralysis of Eyelids : Cocc. Gel. Opi. Rhus. Zinc. 

Of Face: Bell. Canst. Cocc. Nvz r. Opi. 

Of Tongue: Ars. Bell. Cocc. llyos. Lach. Opi. Plumb. 



210 THERAPEUTIC KEY. 

Of Organs of Deglutition : Bell. Canth. Cup. Gel. Lach. 

Of Bladder: Bell. Canth. Hyos. Lach, Lyco. Opi. 

Of Rectum Sphincter ani : Caust. Hyos. Lye. Op. Ruta. 
Zinc. 

Of Upper Extremities : Bell. Caust, Cocc. Nux. Ehus.Yer&t. 

Of Hands: Ars. Caust. Cup. Rhus. Ruta Sili. 

Of Fingers: Ambra. Calc. Cup. Nat. m. Sec. Sili. 

Of Lower Extremities : Alum. Bell. Cocc. Colch. Merc. 
Nux. Phos. Plumb. Rhus. Sec. Sulph. Verat. 

Qf Feet: Ars. Chin. Oleand. Plumb. 

AUXILIARY MEASURES. First ascertain and remove 
cause, if possible. Friction and kneading the parts have a 
beneficial effect. Electricity, judiciously applied, is one of 
best remedies in the treatment of this disease. The alternate 
use of the faradic and galvanic currents will be found the 
most successful. 

Due attention should be gived the skin. Tepid sponge baths. 
and thorough rubbing of the body with a crash towel very 
important. 



PAETUEITION.-LABOR. 

When called to a case of labor, go prepared for emer- 
gency. Take forceps, blunt hook, fountain syringe, chloro- 
form, ammonia, etc. 

Examination. Ascertain in first place if woman is in 
labor. Make out presentation; observe pelvic capacity, the 
condition of bowels, bladder, rate of progress and probable 
termination of labor. Deal frankly with patient. Make no 
false promises, but encourage her to bear the pains. 

Rupturing Membranes. Do not rupture membranes until 
os is fully dilated; if very tough, notch finger-nail and scratch 
through them. Evacuate bladder with flexible rubber 
catheter. Support perineum to prevent laceration. 

Protracted Cases. Tedious cases, attended with much 
suffering, rigidity of os uteri, etc., may be greatly benefited 
by one of following remedies. 

ACONITE. Great distress, moaning and restlessness, * Very 
anxious, is sure she will die. Vulva, vagina, and os dry, 
tender, and un dilatable, [see Bell.] Pains violent. 

BELLADONNA. Spasmodic contractions of cervix uteri, 
which is hot, dry, tender and rigid, [Aeon.] *Pains appear 
suddenly and disappear as suddenly. 

CHAMOMILLA. Over-excitement, and excessive sensi- 
bility to pain, [also Coflf.] Anguish and discouragement, 
with tossing about. *Pains spasmodic and distressing. 
Tearing pains in legs. *She is very impatient, and can 
hardly answer a civil question. 

CIMICIFUGA. ^Tedious cases Caused by rigidity of os, 
with severe pains, [Bell. Caul. Gel.] This remedy, given 



PARTURITION. — LABOR. 211 

once daily for ten or twelve days previous to the expected 
confinement, is said to greatly facilitate labor and shorten 
its duration, [*CauL] 

COFFEA. Pains excessively violent, with great mental 
and nervous excitement, and fear of death. *She weeps 
and laments fearfully, [Cimi.] *Great sensitiveness of 
the genital organs, cannot bear them to be touched. Great 
wakefulness at night. 

GELSEMITJM. *Cutting pains in abdomen from before, 
backwards and upwards, rendering the labor pains useless ; 
these come on with every pain. Rigidity of os uteri, 

IGNATIA. Hysterical, fitful women, and who are full of 
grief, *Weak, empty feeling in stomach, not relieved by 
eating. Uterine cramps, with cutting stitches. Convulsive 
jerking in single parts or limbs. *Patient seems full of 
grief. with frequent sighing. 

NUX VOMICA. Pains irregular, and labor does not seem 
to advance. Drawing in back and thighs with pressure 
downwards, [Cham.] *Every pain produces a desire to go 
to stool or to urinate. Habitual constipation, with frequent 
urg ; ng to stool. Irritable. 

OPIUM. Persons of full h.abit, and when pains suddenly 
cease. Determination of blood to head, with bloated, red 
face, [Bell.] * Drowsiness, and delirious talking. Bed feels 
so hot she cannot lie upon it, [so hard, Am.] 

PULSATILLA. The pains seem too weak and too far 
apart, they grow weaker, as if from inactivity of womb. 
*Pains which excite palpitation of the heart, or suffocating, 
fainting spells. *Patient craves cool, fresh air; worse in a 
warm room, [Sec] Mild, tearful women, with blue eyes and 
light hair. 

SECALE COR. *The pain is much prolonged, as if press- 
ing and forcing the uterus. *Constant sensation of bearing 
down in abdomen ; or the pains are too weak or suppressed, 
[if from fright, Opi.] *Thin, scrawny women, subject to 
passive hemmorhages. Desire to be uncovered ; worse in warm 
room. 

AN/ESTHETICS, Chloroform and Ether are used by 
many in protracted cases where there is much suffering and 
exhaustion. Also where instruments are used, and other 
cases requiring manual operations. Should be used with 
great caution and only when absolutely necessary. "We prefer 
Ether on account of it being less dangerous. 

Administration. Patient in recumbent posture, receives 
the Chloroform from a napkin formed into a cone. Proceed 
cautiously at first ; allow plenty of air if Chloroform is used. 
Watch pulse and respiration, if either falter remove the nap- 
kin. Repeat the dose from time to time as circumstances 
may require, but do not produce complete insensibility. For 
further details in regard to administration of Chloroform, see 
page 24. 



212 THERAPEUTIC KEY. 

THE INFANT. If in a state of asphyxia, direct the mother 
to take long, deep inspirations ; this failing, wrap infant in 
warm flannel and dash cold water on face and chest, or close 
nostrils with thumb and finger, blow in mouth to inflate 
lungs, then press on chest to expel the air. Have recourse 
to artificial respiration. 

Soon as breathing is established, and pulsations in cord 
have ceased, tie and cut the cord. 

WASHING THE INFANT. Take hog's lard or sweet oil, 
rub it thoroughly over the entire body, especially in arm- 
pits and groins, then with a piece of dry flannel wipe 
thoroughly clean and dry. After this bathe child daily in 
tepid water, gradually lowering the temperature from time 
to time, so that in a few weeks the water may be used cold. 

DELIVERING PLACENTA. The placenta is usually ex- 
pelled in 15 or 20 minutes after the foetus. Should it remain 
an hour or more, no harm can come of it. Never make trac- 
tion on the cord, unless the placenta is extruded from the 
womb. Make the womb expel it. Grasp the fundus of uterus 
with left hand and press gently downwards and backwards, 
when in most cases the placenta and membranes will pass 
out. 

Retention of Placenta. If retention is due to uterine inertia, 
spasmodic contractions of neck of uterus, or hour-glass con- 
traction, give one of following indicated remedies: Bell. 
*Caul. Puis. *Secale. If it be adherent, pass hand into 
uterus, detach carefully and scoop out all fragments. 

In case of twins do not attempt removal of placenta of first 
child until after the birth of second. 

PLACENTA PRiEVIA. On first appearance of hemorrhage 
from this complication, place patient on hard mattress with 
head low, and enjoin perfect quietude. Give the indicated 
remedy. If hemorrhage is profuse, tampon at once. Tie 
two or three handkerchiefs together at corners, insert one 
end and stuff them in until vagina is full, leaving one end 
protrude, and remove in 12 hours. When hemorrhage can no 
longer be controlled by these means, proceed to empty uterus. 

If os dilated, pains vigorous and placenta central, pass a 
female catheter through placenta and membranes during a 
pain, draw off the water slowly ; then let finger take the 
place of catheter and tear the orifice sufficiently large to 
admit the head, when bleeding will cease. If there is a 
malpresentation, pass hand through placenta and manage as 
in other cases. 

If os undilatable, forcible distension with a dilator will be 
necessary before the uterus can be emptied. 

When placenta is only partially over os, it may be pushed 
aside and the head allowed to descend; but if one-half the 
os be covered, turn and deliver. 

PROLAPSUS OF CORD. If pulsations have ceased, no 
interference necessary. Ifcbild be yet alive, take a moist 



PARTURITION. — LABOR. 213 

sponge large as hen's egg, make a hole in the centre that 
will admit the cord, now cut through one edge and place 
sponge round the cord and sew edges together. This leaves 
the cord in centre of sponge. Now, oil the surface and push 
it through the os and well above the superior strait. If 
labor has advanced so far as to prevent the return of cord, 
deliver with forceps or blunt hook. 

POST-PARTUM HEMORRHAGE. Flooding after delivery 
usually results from a lack of uterine contraction, or may 
arise from rupture of cervix. 

TREATMENT. At first alarm of hemorrhage, lower head 
and elevate the hips. Give one of remedies indicated below 
and repeat it often. At same time grasp uterus with hand, 
and make firm compression ; follow this with copious injec- 
tions of hot water, [110° to 115° F.] into the cavity of uterus. 
A lump of ice folded in a cloth and laid over the uterus, or 
a piece of ice passed into the uterus, has been found very 
efficient. 

In urgent cases, apply a ligature about upper part of left 
arm, then one about upper part of right thigh ; if this does 
not suffice, bandage right arm and left thigh in like manner. 
Soon as bleeding stops, loosen bandages gradually. 

REMEDIES. Leading indications. 

IPECAC. *Constant flow of bright red blood, with 
cutting about the navel, with nausea. Patient gasps for breath. 
After parturition or miscarriage. 

SECALE. * Passive hemorrhage, in weak, scrawny sub- 
jects. *VVant of action in uterus, [Puis.] Desire to be un- 
covered. 

CHINA. Dangerous cases; discharge of dark clots. 
*Heaviness of head, ringing in ears, loss of sight, fainting. 
Wants to be fanned, but not too rapidly. 

SABINA. Plethoric subjects, [Bell.] *Discharge of 
bright-red, partly clotted blood, worse from least motion. 
Drawing pain from back to pubes precedes the flow. 

BELLADONNA. Retained placenta, with profuse flow of 
hot bright-red blood, speedily coagulating. *Violent bear- 
ing down towards the genitals. Plethoric subjects. 

TRILLIUM. Gushing of bright-red blood from uterus at 
least motion, [Sabi.] Pain in back, and cold legs. 

LOCHIA. During first day, discharge is bloody and 
sufficient to soil ten or twelve napkins. After first day or 
two, it changes in appearance and resembles the menses. 
About the tenth day red color leaves, and yellowish dis- 
charge follows for a few days, which in turn is succeeded 
by whitish mucus. "When patient gets to moving about on 
her feet, a renewal of discharge is apt to occur for a few 
days, when it takes final leave. 

Deviations from the normal condition call for the follow- 
ing remedies. 



214 THERAPEUTIC KEY. 

ACONITE. Discharge continues too long, or is too pro- 
fuse and red-colored. Young persons of full habit. *Fear 
and anxiety of mind. 

BRYONIA. * Suppression of discharge, with pain in the 
head, as if it would split. Fullness and heaviness of head ; 
pressure in forehead and temples. ^Symptoms all worse by 
motion. 

CALCARIA CARB. * Lochia lasts too long, especially in 
women who menstruate too often and too profusely, [Bell.] 
Persons of a pallid, flabby state of body, 

PULSATILLA. Sudden suppression from any accidental 
cause, with feverish excitement, but no thirst. *Sudden 
disappearance of the milk. Mild, tearful persons, * Worse 
towards evening. 

RHUS TOX. Discharge lasts too long and is black, watery 
and offensive. *Sharp pains shoot through the head, which 
feels too large. 

SECALE GOR. Thin offensive discharge, either painless 
or accompanied by prolonged bearing-down pains. *Thin, 
scrawny women. 

LOCAL MEASURES. In suppression of lochia, injections 
of warm water [95° to 100° F.] into the vagina, will often 
recall the discharge and relieve the difficulty. 



PERICARDITIS, ETC. 

As Pericarditis, Endocarditis, Myocarditis, and Hyper- 
trophy of the heart involve the same structures, and depend 
upon the same pathological conditions, we include their 
treatment under the same general head in order to avoid 
repetition. 

THERAPEUTICS. Leading indications, 

ACONITE. Violent agitation and beating of the heart, 
agonized tossing about, violent thirst, red face, and short- 
ness of breath, [Bell.] *Great fear and anxiety of mind, 
thinks he will die, [Ars.] *Lancinating pain in the chest, 
hindering respiration. Has to sit straight up, can hardly 
breathe. After fright, [Opi.] 

ARNICA. Hypertrophy of heart from over-exertion, [Rhus.] 
Lancinating pain in region of heart, causing faintness. 
*Sore feeling all through patient as if from a bruise, [Bapt.] 
*The bed on which he lies feels too hard, causing hica to 
change from place to place. 

ARSENICUM. Pericarditis after suppression of measles, 
scarlet fever, or drying up of old sores, [Sulph.] Violent 
palpitation of heart, particularly at night, and when lying 
down, [Aur. *Dig.] *Great anguish, extreme restlessness, 
and fear of death. Dyspnoea, cannot lie down for fear of 
suffocation. Rapid prostration. *Extreme thirst, drinks 
little and often. 



PERICARDITIS, ETC. 215 

ASPARAGUS. Chronic organic affections of heart. Throb- 
bing of heart, perceptible to the hand and ear, setting in 
after slight motion, [Spig.] *Irregular, quick, double 
beats of heart, with anxiety. 

AURTJM. Disease consequent upon previously existing 
rheumatic affections, [Bry. Spig. J Distressing, anxious 
pains, preventing patient from lying down. *Has to sit 
perfectly quiet, upright. Irregular intermittent pulse, 
[*Dig. Kali c. Lach.] * Great melancholy, and loathing of 
life. 

BELLADONNA. Violent palpitation of heart, reverberating 
in head, [palpitation, with faintne^s and dyspnoea, Verat. v. — 
with tingling in fingers, Aeon.] * Tremor of heart, with 
anguish and aching pain, [Rhus.] Throbbing of carotids. 

BRYONIA. Where disease is complicated with rheu- 
matism or disorders of pulmonary structure. *Stitching 
pains in region of heart, aggravated by breathing or motion. 
Wants to lie perfectly quiet. Intermittent pulse, [see Aur ] 
*Hard, dry stools, as if burnt. Exceedingly irritable and 
snappish. 

CACTUS. Acute pains in region of heart, with dyspnoea. 
Pericarditis and endocarditis, [Aeon. Bry. Dig.] * Feeling of 
constriction at heart, as if an iron band prevented its normal 
action, [as if grasped with an iron hand, Arn.] Palpitation 
worse when walking, and at night when lying on left side. 
Attacks of suffocation, with fainting. 

CANNABIS SAT. Tensive aching behind sternum. Fre- 
quent beatings in both sides of chest, most painful in region 
of heart. *Sensation as if drops were falling from heart. 
Violent shocks in region of heart, [Con. *Nux v.] as if it 
would fall out, when stooping or during exertion. Sensation 
of fullness about heart. 

DIGITALIS. If caused by protracted grief, care, or 
anxiety. *Sharp stitches or contractive pains in region of 
heart, [Arn. Rhus. Spig.] * Sensation as if heart would 
stop beating if one moved. *Palpitation excited by talking, 
motion, or on lying down. Short, hurried breathing. 
(Edema of feet and legs, [Ars.] Bloated, pale face. 

IODIUM. Scrofulous subjects. Sensation as if heart were 
squeezed together. * Violent palpitation, worse from least ex- 
ertion. Better when lying perfectly still on back, [worse, 
Rhus.] *Extreme weakness and loss of breath on going up 
stairs. Fainting spells. 

KALI CARB. Stitches in region of heart, with frequent 
and violent palpitation. Oampy pain about heart, as if 
encircled with bands, [see Cact.] *A blowing noise, and a 
louder second tick of pulmonary artery is heard. *Swell* 
ing over upper eyelids, like little bags. 

KALMIA LAT. * Hypertrophy and valvular insufficiency, 
or thickening after rheumatism. Severe pain in cardiac 
region, with slow pulse. Palpitation up into throat after going 



216 THERAPEUTIC KEY. 

to bed. Trembling all over, worse lying on left side, bettei 
on back. *Slow, small pulse. Neuralgia of heart. 

LACHESIS. Constrictive sensation about heart. Palpita- 
tion, with much anxiety. Irregular beats of heart, [quick, 
double beats, Aspar.] Sudden oppression of chest, accom- 
panied by cough and palpitation. Numbness of left arm. 
*Cannot lie down, must sit up, bent forwards. *Can bear 
nothing to touch the throat. Worse after sleep. 

PHOSPHORUS. Tightness across chest, with dyspnoea and 
great weakness, [*Puls.] Palpitation, worse after eating, 
or from mental emotion. Congestion of lungs, tight cough, 
and spitting of blood. *Hard, narrow, difficult stools, or 
painless diarrhoea. 

PULSATILLA. Persons of a mild, tearful disposition. 
Heaviness, pressure, and burning in region of heart. Pain 
in small of back, and palpitation of heart. *Loose, rattling 
cough, worse on first lying down at night. Rheumatic pains, 
which quickly change locality. Nightly diarrhoea. *Scanty 
or suppressed menses. All worse towards evening. 

RHUS TOX. Sensation of weakness and trembling of 
heart. Hypertrophy from violent exercise, [Km.] Violent pal- 
pitation on sitting still, [Asp. Phos. Spig.] *Stitches in 
heart, with painful lameness and numbness of left arm. 
*Pains worse during rest, has to change position often, 

SPIGELIA. Organic disease of heart. Rubbing, bellows 
sound, [Spong.] *Palpitation so violent it can be seen and 
heard at a distance, [Dig. Verat. a.] *Can lie only on right 
side, with trunk well raised. The least motion produces 
suffocation, anxiety, and palpitation, [see lod.] *Stitching 
pains in chest from slightest motion. Rheumatic pericarditis. 

SULPHUR. After suppressed eruptions or piles. Palpi- 
tation of heart, especially when going up-stairs. Sensation 
as if heart was enlarged. Steady pain in left side through 
to shoulders. *Frequent weak, faint spells. *Constant 
heat on top of head, [coldness, Verat.] *Early morning 
diarrhoea. Dry, husky, scaly skin. 

TABACUM. Violent palpitation when lying on left side, 
[Baryt. *Cact. g. Nat. m.] Irregular, generally slow beating 
of heart. Violent pulsation of heart and carotids. Muscular 
relaxation, 

VERAT. ALB. Paroxysms of anguish about heart, which 
beats very strongly. Violent, visible, anxious palpitation. 
Stitches in sides of chest, worse when coughing, [Aeon. Bry.] 
*Cold sweat on forehead. *Exhausting diarrhoea, with 
great weakness after every stool. Anguish and fear of death. 

CLINICAL MEASURES. 'During an acute attack, absolute 
rest in recumbent position. Avoid all mental and emotional 
excitement, and allow an abundance of fresh air. Hot fomen- 
tations or warm poultices over region of heart very useful. 
The diet should be of the simplest kind, and all stimulants 
discarded. 



PHLEGMASIA DOLENS. —MILK-LEG. . 217 

PHLEGMASIA DOLENS.-MILK-LEG. 

This is most common after parturition, but sometimes occurs 
in unmarried women and sometimes in males. In the case of 
lying-in women it usually occurs about a week or ten days 
after delivery, but may show itself immediately thereafter. 

THERAPEUTICS. Leading remedies, 

ACONITE. Inflammatory stage. Fever, high tempera- 
ture, restlessness and thirst. *Fear, anxiety of mind and 
great nervous excitability. 

ARNICA. In early stage, after severe and protracted la- 
bor, or where mechanical means have been employed in de- 
livery. *Sore, bruised feeling all through the body. 

ARSENICUM. Pale oedematous swelling, with burning 
pains in the parts. Feels cold and chilly, wants to be cov- 
ered up. *Anxious restlessness and exhaustion. 

BELLADONNA. Limb very sore, swollen and hot; can- 
not bear least jar, or to be touched. Tearing cutting pains 
that come suddenly and cease as suddenly. *Back aches as 
if broken. *Confused, anxious, thinks she will die, [pre- 
dicts the day, Aeon.] 

BRYONIA. Pale-red swelling of leg; pains drawing, 
lancinating. *Wants to remain perfectly quiet, worse from 
least motion. *Lochia suppressed, with sensation as if the 
head would burst, [Bell.] Milk suppressed, [see Cal. c] 

CALCARIA CARB. Scrofulous subjects, and in chronic 
cases, [Sili. Sulph.] Whitish swelling of foot and leg, with 
sensation of coldness. Suppression of milk, with sensation 
of coldness all through the body. 

HAMAMELIS. * Milk-leg with swelling of labia, groin and 
thigh. Painful but benumbed sensation in the limb. Swelling 
commencing at the ankle, with great difficulty in moving the 
leg. *Veins dilated and very sensitive. 

PULSATILLA. Leg hot, swollen, with tensive burning 
pains. Varices on legs, [Ham.] Lochia scanty, milk sup- 
pressed, [see Bry.] *Mild, tearful disposition. 

RHUS TOX. Loss of power in the limb, cannot draw it 
up. Red streaks run up the veins of the leg. *Short relief 
from changing position. Wants to be covered up warmly, 
[Ars.] Rheumatic subjects. 

LOCAL MEASURES. Elevate the limb and apply warm 
fomentations. Thick flannel cloths wrung out of a solution of 
the indicated remedy and applied to the parts, then covered 
with oiled silk, will give good results. Where suppuration 
is inevitable, poultices made of linseed meal will be found 
beneficial. 

DIETETICS. During inflammatory stage diet should be 
very simple. Later, milk, broths, soft-boiled eggs, fruits, 
vegetables, etc. Strict attention to cleanliness, and ventila- 
tion important. 
10 



218 THERAPEUTIC KEY. 

PHTHISIS PULMONALE. 

{Pulmonary Consumption.) 

HYGIENIC MEASURES. A person predisposed to phthisis 
should adopt the most rigid hygienic measures. He 
should live with great regularity; take out-doors exercise in 
all weather except the very worst; wear flannel next the 
skin; bathe regularly three or four times a week; make 
daily use of flesh-brush ; sleep in well ventilated apartments ; 
take frequent and full inspirations to expand the lungs in 
every part; adopt a regular and systematic course of gym- 
nastics, and cultivate a cheerful, happy disposition. 

CLIMATIC. Only in the first stage of the disease, as a 
general rule, can the patient be benefitted by a change of 
climate. A choice of home for the consumptive is often 
difficult to make. While some advise a life in the mountains, 
others send their patients to the lowlands of the south. 
Our own observations favor an elevated mountainous region, 
with a dry cool atmosphere, plenty of light and sunshine, and 
an equitable temperature. Here the patient should eat, 
sleep and work out-doors. 

MEDICAL TREATMENT. 

ACONITE. Bright redness of cheeks, particularly of 
young girls of full habit, [Bell. Cal. c] Short, dry cough, 
with tickling in larynx. *Hectic fever, with restlessness 
and anxious expression of face. llsemoptisis ; pleuritic 
stitches. 

BELLADONNA. *Spasmodic cough, worse at night and 
after exertion. Congestion to head, with alternate redness 
and paleness of face. Loss of voice ; larynx painful to 
pressure. Young girls at age of puberty. 

BRYONIA. *Cough at night in bed, compelling one to 
sit up. Stitches in chest when coughing or breathing deep, 
[Aeon. Bell.] *Dry, hard stools. Irritable mood. 

CALCARIA CARB. *Threatened phthisis, especially in 
young girls with too frequent and profuse menstruation, 
[Bell.] *Scrofulous diathesis. Perspires easily and is 
fatigued from any little exertion. *Losing flesh, yet has a 
good appetite. Very sensitive to cold air ; takes cold easily. 
*Cold, damp feet. 

CALCARIA PHOS. * Tubercular cough, with soreness and 
dryness in throat. With the cough, stitches in chest. *Del- 
icate skin with flushed cheeks. Menses too early, blood bright- 
red. Poor digestion. 

CHINA. Cough worse lying with head low, or on left 
side. *Loud, coarse rales, great debility, ansemia. Hsemop- 
tisis, with subsequent suppuration of lungs. (Edema of 
legs, [lod. Lye. Kali c] Offensive, chocolate-colored diar- 
rhoea. Night sweats. 

FERRXJM. Anaemic condition, [Chin.] *Haemoptisis, with 



PHTHISIS PULMONALIS. 219 

pain between scapula. Cough dry at night, but with copious 
expectoration in morning. *The least pain or emotion pro- 
duces a flushed face. Painless, undigested stools, [Chin. 
Phos.] Long-lasting night sweats. 

IODINE. ^Scrofulous persons, with swollen glands, gen- 
eral emaciation. Cough from constant tickling in windpipe 
and under the sternum. Long-lasting hoarseness. *Emaci- 
ation with good appetite, [Cal. c] Morning sweat, [Chin.] 
Swelling of feet. 

LYCOPODIUM. After violent or neglected pneumonia. 
*Hectic fever, with cough and purulent sputa, Fan-like 
motion of alse nasi, [Phos.] Nightsweats; gastric irritation. 

PHOSPHORUS. In threatened and well advanced cases. 
*Dry, tickling cough in evening, with tightness across the 
chest, [Puis. Sulph.] Cough worse from talking, reading, 
laughing, singing. Pain, soreness, or oppression in chest. 
Burning between shoulders, [Bry.] *Hoarseness with 
complete loss of voice. Night sweats during sleep. Painless 
diarrhoea, [see Fer.] Tall, slender persons with fair skin. 

KALI GARB. Incipient and advanced cases, [see Phos.] 
Dyspeptic symptoms preceding the development of tubercu- 
losis. Cough, with sputum of pus and blood. Lower part 
of right lung most affected. *Stitches all through the chest 
and over the body. 

SANGUINARIA. Cough loose, but expectoration difficult. 
Sputum tough, rust-colored, offensive, purulent. Burning in 
chest, also stitching pains. ? Circumscribed redness of cheeks, 
burning worse p. M. Usemoptisis. Cough worse when lying 
down. 

STANNTTM. *Cough with copious yellow, green pus, 
sweetish, putrid, sour or saltish. Cough excited by talking, 
singing, laughing, or lying on right side, [Phos.] Profuse 
night sweats, [Chin. Fer. Iod ] Hectic fever. 

SULPHUR. Cough with rattling of mucus in chest, expec- 
toration of greenish lumps of sweetish taste. *Complains 
constantly of being too hot. Burning of feet at night, cannot 
bear them covered. *Early morning dtarrhaa, [Stan.] 
*Lean persons who walk stooping. 

AUXILIARY MEASURES. The troublesome cough may 
often be palliated by taking a little rock-candy in the month; 
sipping gum-arabic water, in which a few drops of lemon 
juice have been dissolved; or taking teaspoonful doses of 
glycerine and water [drachm to the ounce], as occasion may 
require. 

Inhaling the fumes of Tar, Benzoine, Fesin, or a few drops 
Ether Sulph., will often have a good effect. Drinking a cup 
full of hot water will sometimes promptly relieve the cough 
and oppression. 

In the last stage, as a dernier resort, Morphine mny be given 
to relieve the terrible oppression and soothe the patient. It 
may be administered subcutaneously or by the mouth in very 



220 THERAPEUTIC KEY. 

small doses. Gelatine-coated pills, composed of -J- of a grain 
Morphia, and ^ of a grain Atropia are prepared, and furnish 
a convenient method of administration. 

Night Sweats. A hot bath, 95 to 100° [according to the 
degree of fever and strength of patient] taken at bedtime 
will be found very beneficial. Patient should remain in bath 
from ten to fifteen minutes, then be wrapped in a clean sheet, 
put in bed and allowed to dry without being rubbed. 

Sulphate of Atropine or Picrotoxin given in doses of -^ of a 
grain at bed-time, will in most cases check the night-sweats. 
Taking a glass of milk, or some nourishing food in the night, 
will often have a good effect. 

DIETETICS. The consumptive should have the most 
nourishing kind of food, and all he can digest and assimilate. 
Good fresh milk, cream, and buttermilk are among the best 
articles of diet. Rare roast beef, mutton chops, venison, 
and chicken should enter largely into the bill of fare. Eggs 
slightly cooked or raw are very nutritious. Fats are not only 
essential as fuel food, but they share largely in the tissue- 
making process, and should be supplied in the form of cream, 
butter, fat of meats, etc. Pork, veal, and all salt meats 
should be avoided. Fresh vegetables, as potatoes, carrots, 
beans, peas, and tomatoes may be eaten liberally. Fresh 
ripe fruits are not only wholesome, but palatable, refreshing 
and nutritive. All alcoholic stimulants should be discarded. 



PLEUEITIS.-PLETJRISY. 

THERAPEUTICS. Leading indications. 

ACONITE. Chill and synochal fever ; full, bounding pulse, 
dry, hot skin, agonized tossing about, violent thirst, red 
face, shortness of breath, and great nervous excitability. 
*Piercing and stitching pains in chest, hindering respira- 
tion, with dry cough. Worse lying on left side, [Phos. — 
better on painful side, Bry. Puis.] General suspension of 
secretory functions. 

ARNICA. After mechanical injuries. Sensation as if 
ribs were bruised. Stitching pains in left chest, with a 
short, dry cough. *Sore feeling through whole system, as 
if from a bruise. *Constantly changing about on account 
of bed feeling so hard. 

BRYONIA. Cheeks flushed and hot. Position upon 
affected side, with oppressed breathing. *Stitching pain in 
affected part, aggravated by inspiration or least motion, 
[Aeon.] *Splitting headache. *Cannot sit up on account 
of nausea and faintness. Thirst for large quantities of 
water at long intervals. *Hard, dry stools, as if burnt. 
Exceedingly irritable. 

KALI CARB. *Darting, stitching, or cutting pains, 



PNEUMONIA. 221 

especially in right side, [left side, Am. Phos. Squil.] Vio- 
lent palpitation of heart. l)ry cough, worse about 3 a. m. 

MERCURIUS. Soreness and burning in chest. Stitching 
pain in right chest, through from shoulder-blade, [see Kali 
c] Cough aggravated at night and when lying on left side. 
Moist tongue, with great thirst. *Much perspiration, 
which does not relieve. *Symptoms all worse at night. 

PHOSPHORUS. Short, difficult respiration. Piercing 
pains, mostly on left side. Sharp pains when pressing upon 
intercostal space. Tightness across chest, with a dry, shak- 
ing cough. *Sensation of weakness and emptiness in abdo- 
men. Sharp, cutting pains in bowels, sometimes with 
vomiting. *Long, narrow, hard stools. 

RHUS TOX. If the disease has arisen from metastasis of 
rheumatism, or from exposure to wet, straining, or lifting. 
Also, where febrile symptoms have subsided, and there yet 
remain wandering pains in chest, shortness of breath, and 
general debility. *The pains are worse during rest, [better, 
Aeon. *Bry.] 

SQUILLA. Dyspnoea, with stitching pains in left side 
when breathing or coughing. Short, rattling cough, dis- 
turbing sleep. Inability to lie on left side, [Aeon.] 
Twitching of lips, which are covered with thick, yellow 
crusts, more on the left side. 

SULPHUR. Where the disease is complicated with pneu- 
monia, or does not yield to well-chosen remedies. Short, 
dry cough, with stitches in chest, extending through to left 
shoulder-blade, worse from motion. *Frequent weak, faint 
spells, and flashes of heat. *Constant heat on vertex. 

TARTAR EM. Respiration short and difficult. Burning, 
dry, hot skin, or cold, and covered with perspiration. *Sen- 
sation as if the inside of chest were lined with velvet. 
*Loose cough, as if much phlegm would be expectorated, 
but nothing comes up. Vertigo, with drowsiness. Threat- 
ened paralysis of lungs. 

CLINICAL MEASURES. Patient should assume the 
horizontal position and keep still as possible. Hot fomenta- 
tions or poultices to the painful part of great benefit. A 
gum bag partly filled with hot water, or bags of hot salt, also 
very useful. Sponging body with tepid water, and drying the 
skin without rubbing, highly important. 

DIETETICS. During febrile stage, give liberally of cold 
water to appease thirst. Rice-water, milk, beef-tea, broths, 
light puddings, etc., soon as depression sets in. 



PNEUMONIA. 

THERAPEUTICS. Leading indications. 

ACONITE. First stage, [Tart. e. Verat. a.] *High tem- 
perature, full, bounding pulse, violent thirst and shortness 



222 THERAPEUTIC KEY. 

of breath. Piercing and stitching pains in chest, with difficult 
breathing. *Great fear and anxiety of mind, with nervous- 
ness. Worse lying on left side, [Phos. — better on painful 
side, Bry. Puis.] *Eear of death ; predicts the day he 
will die. 

ARSENICUM. Great anxiety and restlessness, with much 
tossing about. *Rapid prostration of strength, with 
clammy perspiration on skin. * Urgent thirst, drinking 
little and often. Burning pain and heat in chest, [Sang.] 
Coldness of extremities. Great fear of death. Worse at. 
night, particularly after midnight. In advanced stages, 
[Carb. v. Sang.] 

BELLADONNA. *Congestion of brain, with flushed face 
and throbbing carotids, [Aeon. Gel.] Violent delirium, 
with a wild look and desire to escape, strike, bite or quarrel. 
Dyspnoea, with pain in lower and middle portion of chest. 
Expectoration bloody, scant and difficult. [Merc. Nitrum. 
Rhus.] Dry, cracked tongue and lips, with great thirst. 
^Starting and jumping during sleep, with moaning. *Sleepi- 
ness, but cannot sleep. 

BRYONIA. Fever moderate. * Cough, with expectora- 
tion of tenacious mucus of a reddish or rusty color, [*Phos. 
Sang.] Great dyspnoea and acute stitching pains in side of 
chest, [Aeon. Bell.] *The pain is aggravated by breathing 
or least motion; better lying on painful side, [see Phos.] 
*Wants to lie perfectly quiet. Cannot take a full breath, 
lungs feel as if they would not expand. ^Constipation, stools 
dry and hard. Exceedingly irritable. Delirious talking, 
with desire to escape. 

CARBO VEGr. Advanced stages, when there is great pros- 
tration of vital forces, [*Ars.] * Sensation of great weakness 
and fatigue in chest. Cough by spells, with brownish expec- 
toration. Paleness of face and coldness of extremities. 
Pulse extremely weak. *Craves cold air, and wants to be 
fanned all the time. 

IPECAC. *Pneumonia of infants, [Kali c. Opi.] Respi- 
ration rapid, difficult; surface blue, face pale. *Rattling of 
mucus in chest. *The chest seems full of phlegm, but does 
not yield to coughing, [Tart, e.] Much nausea and vomiting 
phlegm, [Tart, e.] Suitable to fat children. 

KALI CARB. *Infantile pneumonia during whooping- 
cough. Great difficulty of breathing, preventing child from 
sleeping or drinking. * Wheezing, rattling breathing, with 
choking cough. Swelling over upper eyelids in morning r , like 
little bags, [under eyes, Apis.] 

LYCOPOD. *Typhoid or neglected pneumonia, [Phos. Rhus. 
Sulph.] Circumscribed redness of cheeks, [Sang.] Copi- 
ous expectoration mixed with pus. *Fan-like motion of nos- 
trils, [Phos.] Great fear of being left alone, [Ars.] *Red, 
sand-like sediment in urine. 

MERCTJRIIIS. Bilious pneumonia, [Tart, e.] Oppressed 



PNEUMONIA. 223 

breathing, with stitches in right chest through from scapulae. 
Cough at first dry, afterwards attended with bloody expecto- 
ration. *Great tenderness over region of stomach and liver. 
*Profuse sweat, affording no relief. 

NITRUM. Great dyspnoea, must lie with head high. 
Cough, with cutting, stitching pains in chest, and bloody 
sputa. Stitches in chest when taking a full breath, [Bry.] 
*Feeling of great heaviness in chest, as if a load were press- 
ing thorax together. 

OPIUM. Pneumonia of infants, where the inflammation is 
disguised by symptoms cf cerebral congestion. *Deep, 
snoring breathing, with wide-open mouth. Expectoration 
frothy, containing blood and mucus. Stupefying sleep, 

PHOSPHORUS. In violent cases. Stitching pains excited 
or aggravated by coughing, breathing, or lying on leftside, 
[see Aeon.] *Tightness across chest, dry cough and rust- 
colored sputa, [Bry.] *A large portion of lung is involved, 
and there is great dyspnoea. Hepatization of right lung. 
^Sensation of weakness and emptiness in abdomen. Long, 
narrow, hard stools. Tall, slender persons, with a weak con- 
formation of chest. Very sleepy. 

RHUS TOX. The disease threatens to assume a typhoid 
character. Patient lies in a state of half stupefaction, at times 
delirious, [Phos.] *Terrible cough, as if it would tear 
something out of chest. Expectoration, color of brick-dust 
or bloody. *The pains are aggravated by rest, hence patient 
continually moves about, to get relief. Very restless at night, 
particularly in latter part. 

SANGUINARIA. Advanced stages, [Ars. Carb. v.] Great 
difficulty of breathing. Position upon back with head well 
elevated. Stitching, burning pains in chest. *Cough, with 
tough, rust-colored sputa. Circumscribed redness of cheeks, 
particularly in afternoon. 

SULPHUR. Protracted cases, occurring in psoric or 
scrofulous subjects. The disease threatens to terminate in 
phthisis. *Much rattling of phlegm in chest. *Frequent 
weak, faint spells, and flashes of heat. Cough on deep 
inspiration, with cutting pain in left chest, [Phos.] Feels 
suffocated, wants doors and windows open. *Constant heat 
on vertex. 

TART. EM. Short, difficult, and oppressed breathing. 
*Loose cough, as if much would be expectorated, but nothing 
comes up, [Ipe.] Great dyspnoea and fits of suffocation, 
[Sulph.] * Impending paralysis of lungs, [Opi. Phos.] 
*The inside of chest feels as if lined with velvet. Bilious 
pneumonia. Nausea and straining to vomit. 

VERAT. VIR. First stage, when congestion and inflam- 
mation have fairly set in. High fever, with strong, quick 
pulse, [Aeon.] Nausea and vomiting a glairy mucus. 
*Sinking, faint feeling in pit of stomach. Constant burning 
distress in cardiac region. Kegularly intermitting pulse. 



224 THERAPEUTIC KEY. 

AUXILIARY MEASURES. Treat, patient in large, airy 
room. Keep temperature about 70° F. and atmosphere 
moist. Hot fomentations or linseed-meal poultices, applied 
over the painful part, will frequently relieve the pain. Do 
not talk to patient, and avoid excitement of every kind. 

DIETETICS. During the inflammatory stage, only mucil- 
aginous drinks, as gum-arabic or slippery-elm water, and 
acidulous drinks. As fever abates, give milk, beef-tea, 
broths and more nourishing diet. 



POISONING. 

When poison has been taken into the stomach, the main 
object should be: 

1st. To expel it quickly as possible by inducing the patient 
to vomit or by pumping the stomach. 

2d. To neutralize its effects by appropriate antidotes. 

EMETICS. To excite vomiting, administer copious 
draughts of tepid water, and tickle the fauces. Placing a 
little salt, snuff or mustard upon the tongue is very efficient. 
If these fail, give emetics of pulverized mustard, [a spoonful in 
water,] or sulphate of zinc, [20 grs. in warm water,] and 
repeat often, until full effect is produced. 

The Stomach-Pump should be used where promptness is 
required. In the absence of a pump, pass a long rubber 
tube into the stomach, raise free end, insert a funnel, pour 
in water until stomach is full, then lower end of tube below 
the stomach and let contents run out. Repeat the opera- 
tion until stomach is completely washed out. 

ACIDS. For poisoning by acids, such as Acetic, Citric, 
Muriatic, Nitric, Oxalic, Sulphuric, Tartaric, etc., give: 1, 
warm soap-suds ; 2, magnesia in water; 3, powdered chalk, 
mixed in warm water; 4, wood-ashes, soda, potash, gruel, 
linseed-tea, or rice-water. Carbolic Acid is neutralized by 
Saccharate of Lime. 

ACONITTJM. For poisoning by this and other acro-nar colics, 
such as Arnica, Colchicum, Conium, Digitalis, Ergot, Gelsemium, 
Helleborus, Hyoscyamus, Veratrum, etc., use stomach-pump or 
an emetic of mustard. Give strong coffee or dilute vinegar. 
Twenty drops Tr. Belladonna by mouth or rectum advised. 
Large injections of soap and water, or of salt and gruel to 
clear the bowels. 

ALCOHOL. For poisoning by alcohol, excite vomiting 
quickly as possible. Give an emetic of Sulphate of Zinc, 
[£0 grs.] or use stomach-pump. Milk, mucilaginous drinks, 
Black Coffee, or a few drops of Ammonia dissolved in a glass 
of sugar-water, may be taken in teaspoonful doses every 5 
or 10 minutes. The after-effects usually call for Coff. *Nux 
v. Opi. 

ALKALIES. Poisoning by different preparations of Am- 



POISONING. 225 

monia, Potassa, Soda, etc., should be treated without vomiting. 
Give: 1, dilute vinegar; 2, lemonade; 3, sour milk; 4, 
mucilaginous drinks; 5, sweet oil. 

ANTIMONY. For poisoning by Tartar Emetic, Butter of 
Antimony, Oxide of Antimony, and other preparations of this 
metal: Induce vomiting, and give a strong decoction of gall- 
nuts, oak-bark, strong black tea, strong coffee, and muci- 
laginous drinks, white of eggs. 

ARSENIC. Emetics seldom needed ; if used, follow by 
large draughts hot water and salt to wash out stomach. Give 
Peroxide of Iron, a spoonful to an adult, repeated every 5 or 
10 minutes; should be fresh, (To prepare, add to one ounce 
of Carbonate of Sodium 2 or 3 ounces Tincture Chloride of 
Iron.) If this is not at hand, give iron-rust stirred in sugar- 
water; flaxseed tea, flour and water, white of eggs and 
water, soap-suds or calcined magnesia in water. After 
alarming symptoms have passed, give Ipecac. Apply warm 
blankets, hot bottles to feet, and friction to extremities. If 
nausea and vomiting, with heat or chilliness over whole 
body, and great debility, give Verat. 

ATROPIA. Same as Belladonna, 

BELLADONNA. Stomach-pump, or emetic of mustard- 
water or Sulphate Zinc, [20 grs. in water]. The best anti- 
dotes are strony, black coffee, or Opium; of the latter 30 to 
GO drops of the tincture may be given at a dose, and repeated 
every ten minutes until its influence is apparent. Flagella- 
tion with wet towel. Artificial respiration. 

BISMUTH. For poisoning by Nitrate or Oxide of Bismuth, 
Pearl Powder, etc., give milk and sweetened mucilaginous 
drinks. 

CAMPHOR. Give strong Black Coffee until vomiting sets 
in ; after which give Opi. in minute doses. 

CANTHARIDES. Give white of eggs and slimy sub- 
stances, as gruel, linseed-tea, etc. Afterwards smell Camph. 
or take it internally. 

COPPER. For poisoning by Blue Vitriol, Verdigris, ScherTs 
Green, and other preparations of this metal : Excite vomit- 
ing. Give white of eggs, sugar-water, milk and mucilagin- 
ous drinks. 

CHLORAL HYDRATE. Strong coffee. Hot bath. Fric- 
tion. Stimulants. Ammonia. Solution Nitrate of Strychnia 
[one part iu fifty] two drops hypodermically. Hot coffee per 
rectum. 

CHLOROFORM. If inhaled, see "Anaesthetics." If swal- 
lowed: Emetics. Stomach-pump. Large draughts water 
containing carbonate soda. Keep patient roused. Employ 
flagellation. 

CORROSIVE SUBLIMATE. For poisoning by this sub- 
stance and other preparations, as Cyanide and Nitrate of 
Mercury, White or Red Precipitate, Vermilion, etc.: Excite 
vomiting immediately. Give white of eggs, beaten up in water, 
10* 



226 THERAPEUTIC KEY. 

in large quantities. Next in importance is sugar-water, starch 
boiled in water, flour-paste, and milk in large quantities. 

CROTON OIL. Stomach-pump. Emetics, [spoonful mus- 
tard, or 20 grs. sulphate zinc.'] Barley-water, white of egg 
and water, gruel, arrow-root. One-third to one-half grain 
morphia, hypodermically, or 20 drops laudanum by mouth. 

DIGITALIS. Stomach-pump. Emetics. Give 20 grs. tannic 
acid or gallic acid in hot water said repeat frequently. Strong 
hot tea or coffee. Six drops Tr. aconite by mouth or rectum ; 
repeat in half an hour if heart's action is not improved. 
Keep in recumbent position. 

ERGOT. Evacuate stomach. Active purgative. Tannic 
or gallic acid in half-drachm doses in water frequently. 
Inhalations Nitrite Amyl. Recumbent position. 

GASES. If a person has become insensible from inhaling 
Carbonic Acid, Carbonic Oxide, Fumes of Burning Charcoal, 
Chlorine, or Sulphuretted Hydrogen, expose him at once to fresh 
air, bathe the face and breast with vinegar, and give him 
strong coffee. After he has somewhat recovered, dispense 
with the vinegar, and give Opium. If this does not suffice, 
give Bell or Nux v. Dr. Hall's method of inducing artificial 
respiration, as explained under Drowning, should be resorted 
to if necessary. 

HYDROPHOBIC. For poisoning from the bite of Rabid 
animals: Excise bitten part at once, if practicable; then 
immerse in warm water and wash as long as it will bleed; 
after which cauterize the surface and cover the wound with 
a poultice. At the same time give a dose of Bell, once or 
twice daily. Try Pasteur's method of inoculation. 

IODINE. For the effects of this poison : Excite vomiting 
by a weak solution of Soda. Give starch stirred iu water, 
starch-paste, flour-paste, linseed-tea. 

LEAD. For poisoning by Sugar of Lead, White Lead, Lith- 
arge, and other preparations, excite vomiting. Give : 1, Epsom 
Salts; 2, Glauber Salts; 3, white of eggs; 4, soap-suds; 5, 
milk. 

NITRATE OF SILVER. For poisoning by Lunar Caustic, 
give: 1, Common salt dissolved in water, in large quantities; 
2, mucilaginous drinks. 

OPIUM. For poisoning by the different preparations of 
Opium, excite vomiting at once, or use stomach-pump. As 
Opiumis an antidote to Belladonna, so is Belladonna an antidote 
to Opium. Give then Tr. Belladonna, ten to twenty drops, 
and repeat every twenty or thirty minutes until desired effect 
is produced. Strong Coffee is also a good antidote; until 
that can be had, give vinegar and water. Keep patient 
roused by beating him on back and dragging him about the 
room. Artificial respiration'should be induced, as explained 
under Drowning, if necessary. 

PARIS-GREEN. See Arsenic. 

PHOSPHORUS. For poisoning by this material, excite 



PREGNANCY, DISORDERS OF. 227 

vomiting. Give: 1, Magnesia stirred in water; 2, mucilagi- 
nous drinks in large quantities. Chlorine water and magne- 
sia, eight parts of former to one of latter, a spoonful taken 
every five or ten minutes. 

PRUSSIC ACID. Treatment. Give spirits of Hartshorn to 
smell, and a weak solution internally. Pour cold water down 
spne from a height, give str<fhg coffee to drink, and use the 
same as an injection. 

RHUS RADICANS. {Poison-ivy, poison-vine.) For the ex- 
ternal poisoning by this species of Rhus: Bathe the parts 
frequently with hot water, and use a little fine soap. Give 
Sang. can. internally. This remedy is regarded as almost 
specific by some physicians. Other remedies are Bry. Bell. 
*Ledum. For poisoning by RHUS TOX. (Poison feumac), 
give Cro. tig. 

SERPENTS. For bite of venomous serpents, apply a cup- 
ping-glass over wound, and allow it to bleed all it will. Prof. 
Bibron's remedy is said to be a perfect antidote for bite of 
Rattlesnake. R. — Potassi, 4 grs., Hydrar. chlor., 2 grs., Bro- 
minii, 4 drachms. Dose, ten drops in a spoonful of brandy 
or wine, and repeat if necessary. It should be prepared in 
glass- stoppered vials. Others advise large doses of brandy or 
whiskey as a sure antidote. Dr. E. T. Brown, Mich., advises 
Tr. Iodium, one to four drops every hour, as an effectual anti- 
dole for bite of rattlesnake. 

STRAMONIUM. For poisoning by this substance, evacuate 
the stomach. Give: 1, coffee. 2, vinegar; 3, lemonade in 
large quantities. 

STRYCHNINE. For poisoning by strychnine, evacuate 
stomach as quickly as possible. Administer large doses of 
Opium per oram or anum, or inject it hypodermically at dif- 
ferent points over the body. Other antidotes recommended, 
are: Iodine (SO drops in water), Camphor, (3 grains dissolved 
in mucilage). These, it is said, stop the tetanic spasms, and 
give time for action of the stomach-pump or emetic. 

TOBACCO. Emetic of mustard (tablespoonful in water), 
Sulphate of Zinc (20 grains in water), or Ipecac. (20 grains in 
water). Tannic acid, half a drachm in water, repeated fre- 
quently. Cider vinegar well diluted ; give liberally. 



PREGNANCY, DISORDERS OF. 

Although the state of pregnancy is in accordance with the 
Divine order of things, it is often attended with many devi- 
ations from health which call for special treatment. But 
before considering these, we wish to call attention to 

DIET IN PREGNANCY. This is a subject occupying a 
good deal of attention at the present time. Careful observa- 
tion has shown that articles of food which contribute largely 
to the growth of bone and muscle, increase unduly the size 



228 THERAPEUTIC KEY. 

of the child in utero, and, to a great extent, the perils and 
sufferings of the parturient female. Therefore, all articles 
of food rich in earthy matter, such as beef, pork ? mutton, 
wheat, beans, barley, oatmeal, etc., should be very sparingly 
eaten, and a diet consisting largely of fruits and certain 
vegetables adopted, especially in the latter months of 
pregnancy. * 

MORN NG SICKNESS, Treatment of. 

ALETRIS FAR. Persistent vomiting and obstinate indi- 
gestion, with much debility. The least food causes dis- 
tress in stomach. Nausea and disgust for food. Frequent 
attacks of fainting, with vertigo. Sleepy all the time. 

ANTIMONIUM. Eructations tasting of ingesta. Nausea, 
with vertigo. * Frightful and persistent vomiting, with con- 
vulsions. After overloading stomach. 

ARSENICUM. Excessive vomiting, especially after eat- 
ing or drinking. *Great desire for water, but can take 
only a little. * Vomiting fluids as soon as taken. Excessive 
weakness Better from hot drinks. 

ARS. OF COP. Vomiting a glairy froth. Dull aching over 
epigastric region. Frequent desire for stool. 

BRYONIA. Nausea immediately on waking in the morn- 
ing. Lips dry and parched; dry mouth and tongue, with 
much thirst. Vomiting food immediately after eating it. 
*Everything tastes bitter, [Puis.] *She feels better by 
keeping perfectly quiet. *Dry, hard stools, as if burnt. 

CALC. CARB. Heart-burn and eructations tasting of 
food. Soreness of sides or tip of tongue, she can scarcely 
talk or eat. *Going up stairs puts her out of breath, and 
causes vertigo. *Cold, damp feet continually. Cannot 
bear tight clothing around waist. *She cannot sleep after 
3 a. m., [*Nux v. Sep.] 

COCCULTJS. Cardialgia after a meal. In morning, she 
can scarcely rise up on account of nausea and inclination to 
vomit; it makes her so faint. *Nausea from riding in a 
carriage, boat, [see Nit. ac] 

COLCHICTJM. *Loathing and disgust at the thought, 
sight, or smell of food. The smell of meats, broth and eggs is 
especially repugnant. All attempts to eat cause violent 
nausea and vomiting. 

CYCLAMEN. After eating least quantity, disgust and 
nausea in palate and throat. Much dimness of vision, with 
fiery specks and sparks before eyes. 

INGLTJVIN. In some cases of morning sickness, Ingluvin, 
given in ten-grain doses night and morning, will have a 
beneficial effect. 

ELECTRICITY. This agent is highly commended by some 
practitioners in the vomiting of pregnancy, and succeeds 
when all others fail. The positive pole is applied at the 
lower cervicle, and the negative to the epigastrium. 



PREGNANCY, DISORDERS OF. 229 

IPECAC. Nausea and vomiting, with great uneasiness in 
the stomach. ^Continual nausea all the time, not a moment's 
relief, [Tart. e. Verat. a.] *Vomiting large quantities of 
mucus. Bilious vomiting, and tendency to relaxation of the 
bowels. 

LOBELIA. *Nausea and vomiting, with profuse flow of 
water from mouth, [Phos.] Feeling of great weakness in 
stomach. 

NITRIC AC. *Much nausea and gastric trouble, relieved 
by moving about or riding in a carriage, [worse from, Cocc] 
Constant nausea, with heat in stomach extending to throat. 
Strong-smelling urine, 

NUX VOM. Nausea and vomiting chiefly in morning, while 
eating, or immediately after eating or drinking. Acrid 
and bitter eructations and regurgitations. *She feels as if 
she would be better if she could vomit. *Cannot bear the 
odor of tobacco. Females of sedentary habits, and who use 
highly-seasoned food. *Large, difficult stools, with frequent 
urging. 

PETROLEUM. Aversion to meat and fat as well as all 
warm, cooked food. *Nausea and vomiting bitter, green 
substances; worse from riding in carriage, [Cocc] Great 
weakness of digestion. Diarrhoea only during day. 

PULSATILLA. Frequent eructations, tasting of ingesta. 
Vomiting after every meal. *Vomiting mucus. *13ad taste 
in mouth every morning on waking. No kind of food tastes 
good. Perceptible pulsations in stomach, [Sep. Tart, e.] 
Diarrhoea, mostly at night. Mild, tearful disposition. 

SEPIA. Nausea in morning as if all the viscera were 
turning inside out. *Sensation of emptiness in stomach. 
The thought of food sickens her. * Yellowness of face, par- 
ticularly across the nose. Painful feeling of hunger. 

TART. EM. Continuous anxious nausea, [*Ipe. Verat.] 
* Vomiting large quantities of mucus. [Ipe.] 

VERAT. ALB. Constant nausea and pt} r alism. Excessive 
vomiting of bile, mucus, and lastly blood. *Cold sweat on 
forehead. Craves cold drinks. 

ZINCUM. Sweet risings into throat, with sweet taste in 
mouth, or taste -of blood. *Iletching, and vomiting bitter 
mucus. *Soon as first spoonful of food reaches stomach, up 
it comes. Fidgety feeling in feet or legs. 

Nutrient Injections. 

In severe cases of vomiting, where the patient is much 
reduced, starving in fact, nutrient injections will often bridge 
over the danger. Milk, beef-tea, broths, etc., are used for 
this purpose. Inject about two ounces at a time at intervals 
of two hours. One pint of good broth or milk each dny 
employed in this way, will keep patient alive many weeks. 
Peptonized foods are valuable for this purpose. See Page 17. 

Gastric Troubles. 

NUX VOMICA. Heart-burn, water-brash, worse before 



230 THERAPEUTIC KEY. 

breakfast. Putrid taste in morning, must rinse the mouth, 
[Puis,] *Craves brandy, beer, fat food or chalk. Con- 
stipation in persons of sedentary habits. 

PULSATILLA. Aversion to fat food, pork, meat, milk, 
bread. Eructations tasting, smelling of food ; bitter, 
bilious, rancid, sour. ^Constant spitting of frothy, cotton- 
like mucus. *Putrid taste in morning, [Nux.] Obstinate 
constipation. 

IPECAC. *Constant nausea, with copious saliva. Beat- 
ing in stomach, [Puis. Sep.] Full of desires, but knows not 
for what. Sweetish taste. 

SEPIA. * Yellow streak across the nose. Heart-burn 
extending from stomach to throat. *Vomiting milky fluid. 
Soreness of abdomen. Involuntary weeping and laughter. 

PHOSPHORUS. *Regurgitation of food without nausea, 
[Nux.] Aversion to sweets or meat. Goneness in region of 
stomach. * Constipation, stools long, slender, tough. 

Pain in Back and Side. 

During pregnancy some women suffer greatly from pain 
in side and back. They usually occur from the fifth to the 
eighth month. 

BRYONIA. Tensive pain in right side below false ribs, 
worse from deep inspiration. *Better when lying on painful 
side, or when keeping quiet. 

RHUS TOX. Pains in small of back, better lying on 
something hard. *Pelvic articulations stiff when beginning 
to move. Worse in stormy weather. 

KALI CARB. Back aches as if broken, she must lie down, 
[see Bell.] Stitching pains in region of liver. 

Pruritus Vulvae. 

Not unfrequently pregnant women are exceedingly annoyed 
by a troublesome itching of the vulvae. 

TREATMENT- Merc. viv. Lyco. Rhus t. Sep. and Sulph. 

are the chief remedies in the complaint. Frequent ablutions 
with hot water very beneficial. A solution of Borax and 
water is also very useful in allaying the itching. These 
failing: Take Hyposulphite of Soda, gts, Camphor water ^viij. 
Mix, and use as a wash three or four times a day — has a 
salutary effect. 

Itching of the Skin. During pregnancy some women are 
greatly annoyed with itching of the skin, not confined to any 
particular parts, but all over the body. This may be relieved 
promptly by the following lotion: 

R, Acid carbol., 3^ij. ; Glycerina, gj.; Aquae rosae, gviij. 

Mix and apply with a soft sponge, as occasion may 
require. 



PREGNANCY, DURATION OF. 



231 



PEEGNANCY, DURATION OF. 

Find the date in upper horizontal line when last menstrua- 
tion ceased ; the figure beneath will give the date of expected 
confinement — ten lunar months or 280 days. 



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232 THERAPEUTIC KEY. 



PROLAPSUS RECTI. 

In ordinary cases, the protruded bowel can be easily 
replaced ; in others, however, the swelling and pain may be 
so great as to give rise to much difficulty. In this event, a 
few doses of Ign. or Nux should be given, and the parts 
bathed in Warm Arnicated water, [ten drops to the ounce] 
and patient kept at rest for a time. Soon as the swelling 
and pain have abated, place patient on his knees, hips elevated, 
lubricate parts with oil, then with finger-tips joined, press 
firmly on the centre, pushing it up into position. After 
this, patient should keep horizontal position for a day 
or two. 

In cases where the accident is of frequent occurrence, one 
of the following remedies should be given. 

BELLADONNA. The prolapsed rectum is hot, red, 
swollen and very tender to touch. *Spasmodic constriction 
of sphincter am. 

HAMAMELIS. The prolapsus occurs in connection with 
varices of the rectum, with copious hemorrhage of dark 
fluid blood. 

IGNATIAo Prolapsus with every stool, [Podo.] *Stitches 
up the rectum, with itching as from ascarides in anus. 
Especially suitable to children. 

MERCUBITJS COE. Especially during an attack of dys- 
entery. *Constant tenesmus during and after stool. 
*Painful bloody, slimy or greenish stools. 

NUX VOMICA. Persons of sedentary habits. *Habitual 
constipation in high livers, [see Sulph..] Blind or bleeding 
piles. 

PODOPHYLLUM. *Prolapsus ani with almost every stool, 
[Ign.] Diarrhoea, stools yellow-colored, with meal-like 
sediment. 

SULPHUR. Blind or bleeding piles, [Nux.] Habitual con- 
stipation, with ineffectual urging, during which the rectum 
becomes prolapsed. 

DIETETICS. The diet should be such as to guard 
against constipation. The use of oatmeal, cracked wheat, 
bread made of unbolted flour, together with laxative fruits, 
as apples, peaches, pears, figs, prunes, the most valuable. 



PROLAPSUS UTERI, ETC. 

THERAPEUTICS. Leading indications. 

ACONITEt * Prolapsus occurring suddenly, with inflam- 
mation of the parts, and burning pain. Bitter vomiting, 
cold sweat, or dry, hot skin. 

AMMO. MUR. Pain in groin, obliging one to walk crooked. 
Menses appear too soon t with pain in belly and small of back, 



PROLAPSUS UTERI, ETC. 233 

the flow most abundant in night. 'Discharge of blood with 
the stool during catamenia. 

AURUM MET. Uterus prolapsed and indurated, [see Con.] 
Prolapsus after lifting a heavy load, [Nux. Rhus.] Bruised 
pain, with shooting or drawing. Thick white leucorrhoea; 
burning, smarting of vulva. 

BELLADONNA. Simple prolapsus, [Aur. Puis. Pod. Sep. — 
Anteversion, Calc. Merc. Nux. Sep. — Retroversion , Cimi. Helon. 
Nux. Plat.] Prolapsus at climacteric or after parturition. 
'Pressure towards the genitals, as if everything would pro- 
trude, [Nit. ac. Plat. *Sep.] Heat and dryness of vagina, 
[Lye] Feeling in back as if it would break, hindering 
motion. 

CALC. CARB. 'Pale, flabby state of body. Climacteric 
period, [Lach. Sep.] Uterus easilg displaced by over-exertion. 
Stinging in os uteri, [Con.] Constant aching in vagina. 
* Menses too frequent and too profuse, [Bell.] Vertigo on 
going vp-stairs. *Cold feet, feels as if she had on cold, damp 
stockings. 

CONITIM. 'Induration and prolapsus at same time, [Aur. 
Iod. Plat. Sep. — Ulceration of cervix, with prolapsus, Arg. n. 
Helon. Hydras. Merc] Burning, sore aching in region of 
uterus. * Thick, milky, acrid leucorrhoea, causing burning. 
*Vertigo, particularly when lying down or turning over in 
bed. Scanty menstruation. 

GRAPHITES. Ante version, or standing backwards, can 
be reached with difficulty. Vagina cold, [heat and dryness 
of, Bell. Lye] *Profuse leucorrhoea, occurs in gushes. Dry, 
unhealthy skin. Itching eruptions. 

HELONIAS. Prolapsus, with dragging weakness in sacral 
region. 'Prolapsus, with ulceration of cervix, the os pro- 
trudes externally, [see Con.] Dark, fetid discharge from 
vagina. " Consciousness of a womb." Greaily depressed in 
spirits. 

HYDRASTIS. 'Ulceration of cervix and vagina, with 
prolapsus uteri, [see Con.] Leucorrhoea tenacious, ropy, thick, 
yellow. Pruritus vulva3, with sexual excitement. 

LACHESIS. *The uterine region feels swollen, will bear 
no contact, not even the clothing. Uterus feels as if the os 
was open, [Kreo.] Copious leucorrhoea, smarting, and stain- 
ing linen greenish. 

LILIUM TIG. Ante version, severe neuralgic pains in 
uterus, aggravated by least pressure or jar. 'Bearing down 
in uterine region, as if pelvic contents would issue through 
vagina, [see Bell.] Aching over pubes, with pain in knees. 
Thin, acrid, excoriating leucorrhoea. 

MERCTJRITJS. Prolapsus uteri et vagintc, [Sep.] Deep, sore 
pain in pelvis and dragging in loins. Abdomen weak, as if 
it must be held up. *Deep ulcers, with ragged edges on os 
uteri. Leucorrhoea smarting, corroding, causing itching. 

NITRIC ACID. 'Violent pressing down, as if everything 



234 THERAPEUTIC KEY. 

were coming out of vulva, [see Bell.] Pain in small of back, 
through hips and down thighs. Excrescences on cervix uteri, 
[Merc] Leucorrhcea of ropy or green mucus, [see Hydras.] 
Hard nodes in mammse. 

NUX MOS. Prolapsus uteri et vaginse, [Merc. Sep.] Dis- 
placement of uterus, particularly in barren women. *Great 
dryness in mouth and throat while sleeping. *Enormous 
distension of abdomen after every meal. Menses irregular 
in time and quantity. 

NUX VOM. * Prolapsus uteri from straining or lifting, 
[Podo. *Rhus.] Hardness and swelling of os tincse. *Bear- 
ing down towards the sacrum, with ineffectual urging to 
stool, [Puis] Burning, heaviness, sticking in uterus. 
Leucorrhcea fetid, staining yellow. 

PODOPHYLLUM. Prolapsus uteri after over-lifting or strain- 
ing, or after parturition. * Sensation as if genitals would 
cume out during stool. * Prolapsus ani, with every stool.. 
Pain in region of ovaries. 

PULSATILLA. Chilliness and paleness of face. Bad 
taste in morning and dry tongue, without thirst. * Prolapsus 
uteri, with pressure in abdomen and small of back as from a 
stone. Limbs tend to go to sleep. *Menses too late, 
scanty, flow thick, black, clotted. Easily moved to tears. 

RHUS TOX. *Prolapsus from over-exertion or straining, 
[*Nux. Podo.] Bearing down when standing or walking, 
back aches, better lying on something hard. Amenorrhoea 
from getting wet, [Puis.] 

SEPIA. Pressing down in uterus oppressing the breath- 
ing, seems as if everything would come out of vagina, 
crosses her limbs to prevent it. ^Prolapsus uteri et vaginae, 
[Merc] All-gone feeling in pit of stomach, relieved by lying 
down or eating. * Yellow saddle across bridge of nose. 
Pot-belliedness, 

SULPHUR. ^Burning on the vertex, [coldness, Verat ] 
Bearing down in pelvis, towards genitals. Weak feeling in 
genital organs. Burning in vagina, can scarcely keep still. 
*Frequent weak, faint spells. Flushes of heat, and burning 
in soles. 

GENERAL MEASURES. Our chief reliance in the 
treatment of uterine displacement must rest on suitable 
hygienic* measures and internal medication. The state of 
general health should be looked after, and the system built 
up by a nutritious diet, open-air exercise, frequent ablutions, 
regular habits, etc. Wearing tight clothing, taking long 
walks, going up and down stairs, lifting heavy weights, and 
over-exertion of every kind, should be avoided. The use of 
pessaries should be discarded; as a general thing, they do 
more harm than good. 



PUERPERAL CONVULSIONS. 235 

PUERPERAL CONVULSIONS. 

THERAPEUTICS. Leading indications. 

ACONITE. In the incipiency, when an attack is appre- 
hended. After fright, [Ign. *Opi.] Flushed face ; dry, hot 
skin ; thirst and great restlessness. *Great fear and 
anxiety of mind ; thinks she will die, although there is no 
occasion of alarm. *She dreads too much activity about 
her. Vertigo on rising up in bed. 

ARGENT. NIT. The patient has a presentiment of the 
approaching spasm. Tremor of limbs and faintish, weak 
feeling. *Sensation as if the body, and especially the face 
and head, expanded. She feels as if the bones of the skull 
separated with increase of temperature. *Continually in 
motion between spasms. 

BELLADONNA. Red, bloated face, distorted eyes and 
dilated pupils, [Opi.] *She seems to be in a half-conscious 
state, with disposition to strike and bite. Convulsive jerk- 
ing of limbs and muscles of face. Foam at mouth, and in- 
voluntary escape of faeces and urine, [Hyos.] With every 
p:iin a spasm comes on, and during interval more or less 
tossing about. *Sensation as if she were falling down 
through bed. Grating of teeth, [Stram.] 

CICTJTA VIROSA. Violent contortions of upper part of 
body and limbs. Convulsive tossing of extremities from one 
side to another. *Bluish face, with interrupted breathing 
and foam at mouth. *After convulsion she lies motionless, 
with rigidity of jaws, and as if dead. 

CUPRUM. The spasm sets in with sudden convulsive 
jerking of limbs. The arms are drawn in towards body, 
and fingers tightly clinched. Eyes spasmodically closed, 
and mouth distorted. *Rigidity of trunk and lower extrem- 
ities, with closed jaws. *Vorniting and retching, with 
horrible colic and cramps in legs. 

GELSEMIUM. *Labor delayed by rigid os, [Bell.] Sen- 
sation like a wave, from uterus to throat, ending with chok- 
ing feeling. *Impending spasms, [Aeon.] Head feels too 
large, speech thick, pulse slow, [see Opi.] 

HYOSCYAMUS. The spasms commence with twitching of 
muscles of face, and spasmodic motions of eyelids, [see 
Stram.] 'Twitching and jerking of all the muscles in 
body. *01iiiching of the thumbs. Complete loss of con- 
sciousness, with desire to escape. Oppression of chest, with 
stertorous breathing. Involuntary discharge of fasces and 
urino, [Bell.] 

IGNATIA. *Sudden starting from sleep, with screams 
and trembling of body, [Stram.] Twitching of muscles of 
the face and corners of mouth. Convulsive movements of 
single muscles, or only portions of the body at a time. *Deep 
sighing and sobbing, with a strange compressed feeling in 
the brain. 



236 THERAPEUTIC KEY. 

OPIUM. Especially after fright, [Aeon.] Convulsive 
trembling of whole body, with distortion of muscles. *The 
spasm is followed by sopor and stertorous respiration. 
*Stupefaction of senses, and complete loss of consciousness. 
Bluish, bloated face, with swollen lips. Pupils dilated and 
insensible to light. Incoherent and wandering talk. Slow 
pulse. 

STRAMONIUM. *The patient awakens with a shrinking 
look, as if afraid of first object seen. The spasm mostly 
commences with convulsive motions of extremities, especially 
upper. Grinding of teeth, [Bell.] ^Loquacious delirium, 
with stammering speech. *She makes ridiculous gestures 
and strange faces; laughs, sings and sighs. *The light of 
brilliant objects, and contact, renew the spasms. 

\ AUXILIARY MEASURES. At the first sign of convul- 
sions, the indicated remedy should be given and repeated 
at short intervals. Soon as os is sufficiently dilated, apply 
forceps and terminate the labor soon as possible. If os re- 
mains unyielding, and convulsions persistent, it is advised 
by some to incise the os, dilate and deliver at once. Others 
advise Chloroform to be given at the very onset of attack tcr 
ward off the paroxysm; this sometimes succeeds, but as 
often fails. Copious injections of hot water, [112° to 115°] 
into the uterus, with Fountain Syringe, also recommended as 
valuable. 

Empty bladder with catheter, and the rectum with warn* 
water injections, unless they are known to be empty. 11 
patient is in a comatose condition, ice-bags to head and spine 
are advised. 



PUERPERAL FEVER. 

(Child-bed Fever, Puerperal Metritis.) 

THERAPEUTICS. Leading indications. 

ACONITE. After a violent chill ; dry, hot skin, full bound- 
ing pulse and intense thirst. Cutting, lancinating, burning 
and tearing pains in uterus, with anguish and great fear. 
Suppression of lochia, or too scanty discharge, [Bell.] 
^Excessive sensibility to touch. ^Retention of urine, with 
stitches in kidneys. *Fear of death, predicts the day she 
will die. 

ARSENICUM. Advanced stages. Burning, lancinating 
pains; the parts burn like fire. *Great anguish, extreme 
restlessness and fear of death, [Aeon.] Rapid prostration, 
with sinking of vital forces. *Craves cold drinks, but can 
take but little at a time. Wants to be covered up warmly, 
[Rhus.] Aggravation after midnight. 

BELLADONNA. Great tenderness of abdomen, aggravated 
by least motion or jar, [Br'y.] * Violent clutching pains, as 



PUERPERAL FEVER. 237 

if parts were seized with claws. *Pains come on suddenly, 
and cease as suddenly. Great heatin abdomen, which imparts 
a burning sensation to the hand. * Almost constant moaning, 
with starting and jumping while sleeping. Painful bearing 
down in pelvis. Suppression of lochial or menstrual dis- 
charge, or else it is scant and fetid. ^Congestion to head, 
with flushed face and red eyes. Throbbing headache and 
delirium. *Great intolerance to light or noise, [Aeon.] 

BRYONIA. Stitching, burning pains in abdomen, which 
is tender to touch. . *Lochia suppressed, with splitting head- 
ache, [Bell.] Lips parched, dry and cracked. Great dryness 
of mouth, with little thirst, or else drinking large quantities. 
*Cannot sit up from nausea and faintness. * Wants to remain 
perfectly quiet; worse from least motion. *Hard, dry stool3, 
as if burnt. Exceedingly irritable. 

CANTHAEIS. Great heat and burning in abdomen, [with 
lancinating pains, Ars.] Debility, restlessness and trem- 
bling of the limbs. *Constant painful urging and tenesmus 
of the bladder, passing but a few drops at a time, sometimes 
mixed with blood. 

CHAMOMILLA. If the disease was induced by a fit of 
anger. Heat all over, with thirst and red face, or one cheek 
red and the other pale, [Aeon.] * Violent labor-like pains in 
uterus. Profuse lochia. Great sensitiveness to pain, becomes 
furious. *She is very impatient, can hardly answer a civil 
question. Urine abundant and light-colored. Warm sweat 
about the hend. 

COLOCYNTH. *Terrible colicky pains, causing her to 
bend double, with great restlessness. *Feeling in abdomen 
as if intestines were being squeezed between stones. Vom- 
iting and diarrhoea, worse after eating or drinking, [Ars.] 
Bitter taste in mouth. Full, frequent pulse and great thirst. 

HYOSCYAMTJS. If the disease assume a typhoid charac- 
ter. *Spasmodic jerking of the limbs, face and eyelids. 
Furious delirium, with wild, staring look. * Muttering and 
picking at the bedclothes. *She throws off the bedclothes 
and wants to remain naked. Complete apathy, or else great 
excitability. 

IPECAC. Pain in region of umbilicus, extending towards 
uterus. Every movement is attended with a cutting pain 
running from left to right. *Continual nausea and vomiting, 
[Verat.] Discharge from the womb of bright-red blood. 
*Green, watery, fermented stools. 

KREOSOTE. Loss of memory, thinks herself well. She 
has a sick, suffering expression. * Violent burning deep in 
pelvis, with constant whining and moaning. *Putrid state 
of the womb, with offensive, excoriating lochia. Labor-like 
pains in abdomen, with drawing in upper abdomen, extending 
to small of back. Painful sensation of coldness in abdomen. 

LACHESIS. *Cannot bear any pressure, not even the 
clothing, over uterine region *The pain in uterus is re- 



238 THERAPEUTIC KEY. 

lieved for a time by a flow of blood, but soon returns. Re- 
peated chills, livid face, and unconsciousness. Skin alter- 
nately hot and cold. Abdomen distended. Lochial discharge 
thin and ichorous. *Aggravation after sleep, [Apis. Verat.] 

MERCURIUS. Lancinating, boring, or pressing pains in 
the genital organs. *Very sensitive about the pit of the 
stomach and abdomen, [Bell.] Much saliva in the mouth. 
* Tongue moist, with great thirst. Profuse sweat without re- 
lief. Aggravation at night. Green, slimy, or bloody mucous 
stools, with violent tenesmus. 

NTJX VOMICA. Feeling of heaviness and burning in gen- 
ital organs and abdomen. Suppression, or else too profuse 
discharge of lochia, with violent pains in small of back. 
Pain as if bruised in neck of uterus. *Constipation, with 
frequent and ineffectual urging to stool. Pain in small of 
back, worse when attempting to turn in bed. Ringing in ears 
and fainting turns. Aggravation in morning. 

RHUS TOX. Metritis after confinement. *She cannot lie 
still, but must change continually to get a little rest. *The 
lower limbs seem powerless, she can hardly draw them up. 
Dry tongue, with red tip. Typhoid symptoms. Aggravation 
during rest, at night, particularly after midnight, [Ars.] 

SECALE. Tendency to putrescence, [with dark, offensive 
discharge, Kreo.] Hot fever, intermingled by shaking chills. 
Discharge from vagina of thin, black blood, very offensive. 
Vomiting decomposed matters. Painless diarrhoea, with much 
debility. She lies either in quiet delirium, or grows wild 
with great anxiety and desire to escape from bed. *Thin, 
scrawny women. *Desire to be uncovered. 

VERAT. ALB. Puerperal metritis, with violent fits of vom- 
iting and diarrhoea. *Coldness of extremities, with deadly- 
pale face, covered with cold perspiration. Suppression of 
lochial discharge with delirium. *Excessive weakness, [*Ars. 
Sec] 

AUXILIARY MEASURES. Treat patient on mattress bed 
with light covering. Apply hot fomentations containing indi- 
cated remedy, or thin poultices over painful parts. With a 
fountain syringe wash out uterus and vagina thoroughly, two 
or three times a day, with a solution Carbolic acid [gtts. v. 
aq. ferv. gj ] or Kali, per mang. [grs. jii. aq. ferv. gj.] Rectal 
injections of hot water, [110° F.] very useful. Keep patient 
quiet as possible, and room abundantly supplied with fresh 
air. 

DIETETICS. During inflammatory stage, give only the 
simplest kind of food — thin gruel, rice-water, barley-water, 
and mucilaginous drinks. Later, beef-tea, animal broths, 
milk, soft-boiled eggs, cream toast, and ripe fruits. 



REMITTENT FEVER. 239 

EEMITTENT FEVER. 

(Bilious Fever ; Typho -malarial Fever.) 

THERAPEUTICS. Leading indications. 

ACONITE. Chill, high fever, violent thirst, red face, short- 
ness of breath, and great nervousness. *Bitter taste of 
everything except water, [see Bry.] Bitter, bilious vomiting, 
[*Cham. Ipe. Nux. Puis.] Red scanty urine. Stitches in 
region of liver. Anxiety and great restlessness. 

BRYONIA. Giddiness, nausea, and faintness on sitting 
up, [Aeon. Puis.] *Fullness in forehead, as if everything 
would be pressed out. Splitting headache, [*Beli. Puis.] 
Lips parched, dry and cracked. Tongue coated white or 
yellow. *A11 food and drink taste bitter, [Colo. Puis.] 
*Stitches or burning in region of liver. Constipation; dry, 
hard stools. Exceedingly irritable, 

CHAMOMILLA. Patient exceedingly irritable, can scarcely 
answer a civil question, [Bry.] Thick, white or yellow coat- 
ing on tongue. *Bitter taste, [*Bry. Nux. Puis.] ♦Vomit- 
ing food, bile, or slimy substances. Fainful bloatedness of 
stomach. Stools green, watery, slimy, or like chopped eggs 
and spinach. Jaundice-like appearance of face, [see Merc] 

CHINA. Chills alternating with heat, skin cold and blue, 
[see Nux.] Ringing in ears, with dizziness and a feeling as 
if the head was enlarged. *Pain in region of liver and 
spleen, when bending or coughing. Sallow complexion. 
Miasmatic districts. 

COBNTJS. Dull headache, with aching pains in the eyeballs. 
Flushes of heat and coldness in alternation, [ *Puls.] Loss of 
appetite, with aversion to meat and bread. Rumbling of 
wind in bowels, with emission of fetid flatus. General 
debility from loss of fluids and night-sweats, [*China.] 
Dark, bilious stools. 

GELSEMITJM. Adapted to nervous, excitable, hysterical 
females, [Ign.] Fullness in head, heat of face, and chilli- 
ness. *Heaviness of eyelids, impossible to keep them open. 
Congestion of liver, with vertigo and blindness. Aching and 
soreness in lower legs. 

IPECAC. Headache, as if brain and skull were bruised. Yel- 
lowish or white coating of tongue. Bitter taste in morning, 
[see Puis.] *Continual nausea, with vomiting food, bile, or 
jelly-like mucus, [Ant. c] Flatulent colic. *Diarrhoea, 
stools fermented, or like frothy molasses. 

LEPTANDRA. Constant dull frontal headache. Tongue 
yellow down the centre, [white, Bell.] Vomiting bile, with 
shooting pains in liver. * Jaundice, with clay-colored or 
black stools. Tendency to shiver, with sore, lame feeling in 
back. 

MERCURIUS. Tale, yellow, earthy color of face, [Puis.] 
Tongue coated with a duty yellow fur. * Fetid breath, 



240 THERAPEUTIC KEY. 

with ulcers on lips, gums, and cheeks, [Nit. ac. *Nux.] 
Bitter, sour, putrid, or sweet taste. *Region of stomach 
sore to touch, [Bry. Nux.] Stinging pains and great sore- 
ness in region of liver. Diarrhoea; stools dark green, frothy, 
or yellow like sulphur. Dark-red urine, as if mixed with 
blood. 

NTJX VOMICA. The patient is very irritable, and wishes 
to be alone, [see Cham.] Head aches, as if skull would 
split, [Bry.] Bitter or sour taste. *Bitter, sour eructations, 
[Bry. Puis.] *Vomiting food, or sour-smelling mucus. 
Cramp-like pain in stomach. *Habitual constipation of 
large, difficult stools. Can't sleep after 3 a. m. Worse in 
morning. 

PODOPHYLLUM. Depression of spirits. Tongue furred 
white, moist, shows imprints of teeth, [Hydras. Merc] 
*Bitter taste and bitter risings from the stomach, [Bry. 
Nux.] Bilious vomiting and purging, with dark urine. 
lellovmess of skin, with fullness, soreness and pain in liver. 

PULSATILLA. Melancholy, with weeping sadness. *He 
is disgusted with everything. Vertigo on rising from a 
sitting posture. * Hemicrania, as if the brain would burst, 
worse from stooping, or moving the eyes. Tongue yellow 
or white, and covered with tough, mucus, [Merc] *Putrid 
taste in mouth, with inclination to vomit, [Merc Nux.] 
*Every kind of nourishment tastes bitter, [*Bry.] Nightly 
diarrhoea, stools watery, or green like bile. 

SULPHUR, Low-spirited, out of humor, inclines to weep, 
[Puis.] Vertigo on sitting up, [see Bry.] ^Constant heat 
on top of head, [coldness, Verat.] Putrid taste, with com- 
plete loss of appetite. Sour eructations, [Nux.] *Stitches, 
or pressing pain in region of liver. Painless morning diar- 
rhoea, [Rumex.] Lean persons who walk stooping. 

DIETETICS- In active stage, little food should be 
taken. Cold water or bits of ice to allay thirst and check 
vomiting. When improvement sets in, rice, farina, corn- 
starch, and fresh buttermilk may be taken. Later, broths, 
beef-tea, fresh vegetables and ripe fruits. A return to the 
ordinary diet should be very gradual. 

Treat patient in a well ventilated room, where there is 
plenty of sunlight. Cold or hot compresses may be applied 
to the painful head, and the body frequently sponged off 
with tepid water. 

ACUTE RHEUMATISM. 

THERAPEUTICS. Leading indications. 

ACONITE. Synochal fever, with great agitation of heart. 
Red swelling of affected part, very sensitive to contact and mo- 
tion. Stitching pains in chest, hindering respiration, [Bry.] 
*Great fear and anxiety of mind, with nervous excitability. 
Retention of urine, and stitches in kidneys, 



ACUTE RHEUMATISM. 241 

AMMON. PHOS. Especially where joints of fingers and 
hands are involved, [Caul. Lach.] Loss of appetite, with 
emaciation. Sleeplessness and nervous irritability. Mostly 
the right side. Evening fever. 

ARNICA. Hard, red, shining swelling of the affected 
parts. *Pains as if sprained or bruised, w T ith a feeling of 
lameness in limb, [Rhus.] *Sensation as if diseased part 
were resting upon something hard. *Great fear of being 
struck by persons coming near. 

ARSENICUM. Burning, stinging, tearing pain, with pale 
swelling. *Pain relieved by application of warmth, [Rhus.] 
Profuse sweat, which relieves pain, but leaves patient very 
weak. Frequent chills, alternating with heat. Constantly 
moving affected limbs. ^Extreme thirst, drinking little and 
often. 

BELLADONNA. Red, shining swelling of joints, with 
pressing, cutting, tearing pain, deep in bones. *Frequent 
darting pains from joint along the limb, [like electric jerks, 
Verat. a.] *Pains which come on suddenly, and leave as 
Buddenly. Fever, with dry, hot skin, thirst, and throbbing 
headache. Visible pulsations of carotids. Drowsy, sleepy 
condition, with starting. Aggravation at 3 p. m., and from 
least motion or touch. 

BRYONIA. Stiffness, with swelling and a faintish redness 
of inflamed part, [Colch.] *Stitching, tearing pains, worse 
from least motion. *The patient wants to remain perfectly 
still. Dry, hot skin, or else perspiration of an acrid char- 
acter. Bitter taste, dry mouth, and great thirst. *Hard, 
dry stools, as if burnt. Exceedingly irritable. Metastasis to 
the heart, [*Acon. Colch. Spig. Verat. v.] 

CACTUS. The disease is principally confined to the heart 
and diaphragm. Feeling as if an iron band was around the 
heart, preventing its normal action. Palpitation of the 
heart, worse when lying on the left side, [when on the back, 
*Ars.] 

CAULOPHYLLUM. ^Rheumatism of wrists and finger- 
joints, with much swelling. When disease shifts from extrem- 
ities to back and nape of neck, with rigidity of muscles. 
Oppression of chest, high fever, and nervous excitement. 

CAUSTICUM. Stiffness and swelling of joints, with tear- 
ing pains. *Great weakness and lameness of lower limbs, 
and trembling of hands. Pains worse towards evening, and 
from exposure to cold; better from application of heat, 
[Ars. Rhus t.] Scrofulous persons with yellow complexion. 

CHAMOMILLA. Drawing, tearing pains, with a sensation 
of numbness or lameness in parts, [Nux.] The paius are 
continuous, and get worse at night, with much tossing about. 
*Becomes almost furious about pains, can hardly endure 
them. * Great irritability of temper, is very cross and 
snappish. Hot perspiration, especially about head, *Red- 
ness of one cheek and paleness of other, [Aeon. Nux v.] 
11 



242 THERAPEUTIC KjEY. 

CHELIDONITTM. *Rheumatic swelling, with a stone-like 
hardness of tlie affected parts. Constant pain under the 
lower, inner angle of the right shoulder-blade. *Stools like 
sheep's dung, [Plum. Ruta.] 

CHINA. Violent tearing, sticking, drawing pains, in- 
creased by pressure or motion. Bruised pains in the small 
of the back, with painful jerks in the region of the os sacrum. 
Debilitating morning and night sweats. * Weakly persons, who 
have lost much blood. 

CIMICIFUGA. Articular rheumatism of lower extremities, 
with much swelling and heat of. parts. Pain worse from 
motion, extorting screams. Delicate hysterical females who 
suffer from uterine diseases. 

COLCHICTTM. Moderate swelling with pale redness of 
affected parts, [Bry.] Pains burning, tearing, or jerking, 
frequently shifting about, [Bell. Puis.] *Chilliness even 
near hot stove, intermingled with flashes of heat, [Puis.] 
Metastasis to heart, with stitches and tearing in chest and 
region of heart. Strong and fluttering beating of heart. 
Profuse sour smelling sweats. * Urine dark and scanty, de- 
positing a whitish sediment. 

DULCAMARA. After exposure to wet, [Merc] The parts 
feel as if bruised, [Am.] The pains are mostly in back, 
joints of arms, and legs. When the disease sets in after 
acute cutaneous eruptions. * Aggravation after every cold 
change in weather. 

FERRUM. Little or no swelling, but a constant drawing, 
tearing pain, especially in deltoid muscle. Pain worse in 
bed ; has to get up and walk slowly about. *Least emotion 
or exertion produces a red, flushed face. Palpitation of 
heart, and dyspnoea. 

HAMAMELIS. Pains unbearable, with great sensitiveness 
to touch, and fear of exciting new pain on moving. *Great 
soreness of affected parts. Articular rheumatism, with swol- 
len, painful joints, [Cimi.] 

KREOSOTE. Pain in joints, especially in hip and knee- 
joints, [Ledum], with a feeling of numbness or loss of sen- 
sation, as though the whole limb were going to sleep. 
*Wretched livid complexion. 

LACHESIS. Swelling of index-finger and wrist-joint. 
Stinging, tearing in knees, with a sense of swelling. Left 
side generally affected. No relief from profuse sweating, 
[Merc] *Patient worse after sleeping. 

LEDUM. Rheumatic pains in the lower extremities, espe- 
cially in the hip and knee-joints, and when it commences 
from below and goes upwards. *Great want of vital heat, 
[Sep.] Pains grow worse in the evening in bed, and last till 
midnight. 

LYCOPODITJM. Drawing and tearing pains, worse at night 
and during rest, [Rhus.] Painful rigidity of muscles and 
joints, with sensation of numbness in part. The disease is 



ACUTE RHEUMATISM. 243 

mostly on right side, with, or without swelling. Chronic 
forms, especially of old people. * Urine dark and turbid, or 
with sediment of red sand. * Constant sensation of satiety, 
feels so full can eat nothing. Constipation, much sour 
belching. 

MERCURIUS. Shooting, tearing or burning pains, worse 
at night, from warmth of bed or exposure to damp or cold 
air, [Dulc] Puffy swelling of the affected parts, of a pale 
or slight pinkish color. Green, slimy diarrhoea, with grip- 
ing and tenesmus. *Much perspiration, affording no relief, 
[Lach.] 

NUX VOMICA. Especially in back, loins, chest or joints, 
with pale, tensive swelling", [Bry.] Tensive jerking or 
pulling pains, aggravated by contact or motion. Numbness 
or lameness of affected parts, with twitching in muscles. 
Aversion to open air, and great sensitiveness to cold. Heat 
mixed with chilliness, especially when moving. *Perspira- 
tion relieves the pain, [see *Merc] Dyspeptic symptoms. 
*Habitual constipation. Persons of intemperate habits. 
Irritable mood. 

PHOSPHORUS. Tearing, drawing and tensive pains 
setting in when taking cold. Lameness and weakness in 
lower limbs, [Nux Puis.] *Sensation of weakness and 
emptiness in abdomen. Belching large quantities of wind 
after eating, [Bry. Nux Puis.] *Long, narrow, hard stools, 
very difficult to expel. 

PHYTOLACCA. Pains shoot from one part to another, 
[Puis.] Joints swollen and red. *Pains in middle of long 
bones or attachments of muscles. Worse in damp weather 
and at night. 

PULSATILLA. Not much swelling or redness of the 
affected parts. *Pains which shift rapidly from one part to 
another, [Bell.Rhod.] Sensation of weight in the disordered 
structure. *Chilliness, even in a warm room. *Craves 
cold, fresh air; feels worse in a warm temperature. *Per- 
sons of a mild, tearful disposition. *Bad taste in the mouth 
in the morning. 

RHODODENDRON. Drawing, tearing pains in joints and 
limbs. Pain3 worse during rest, and in rough, stormy 
weather, [Rhus.] Swelling and redness of single joints. 
Rheumatism of knee, [Verat. v.] 

RHUS TOX. Swelling and redness of affected parts. 
Pains drawing, tearing, burning, or as if sprained, with sen- 
sation of lameness and creeping in the parts. *Pains worse 
during rest and when first commencing to move, [Ars. Sulph.] 
* Better from continued motion and external warm applica- 
tions, [Ars.] 

SPIGELIA. Rheumatic pericarditis, [see Bry.] Dull 
stitches in region of heart. Violent palpitation of heart, with 
great anxiety. Dyspnoea, he can lie only on right side, with 
trunk raised. *The least motion produces great suffocation. 



244 THERAPEUTIC KEY. 

SULPHUR. Chronic form, and for secondary effects of 
acute rheumatism. Tearing, stitching, or dull aching pains. 
^Constant heat in top of the head, [coldness, Verat.] *Fre- 
quent weak, faint spells. 

THUYA. Tearing and beating pains, as if from subcuta- 
neous ulceration. Feeling of coldness and numbness in parts, 
[Nux v. Puis.] Rheumatism in syphilitic subjects, [Phyto. 
Merc] Symptoms worse in a warm room. 

VERAT. ALB. Pains as if bruised, worse from the heat 
of the bed ; better from rising and walking about. *Electric 
jerks in the affected limbs. Painful heaviness in the knees 
and lower legs. 

VERAT. VIR. Rhematism, especially of left shoulder, hip, 
and knee, [Rhod.] Aching in all the bones. Advised in 
endocarditis and pericarditis. 

m AUXILIARY MEASURES. Persons subject to rheuma- 
tism should wear flannel next the skin as a preventive. They 
should avoid over- exertion, and especially should they guard 
against the sudden checking of perspiration. 

During an attack patient should rest on a soft bed and 
between blankets. Hot fomentations applied to painful parts 
will often afford great relief. Enveloping the parts in raw 
cotton is also very useful. The room should be light and 
well ventilated, and the temperature about 70° F. 

DIETETICS. Only plain, simple food. Light puddings, 
made of rice, tapioca, sago or corn-starch; plain toast and 
good ripe fruits. The drink should be pure fresh water, 
lemonade, or water with a little jelly added. All alcoholic 
beverages should be strictly avoided. 



SCABIES.— ITCH. 

Scabies, or common itch, is a disease characterized by a 
vesicular eruption which is produced by an animal parasite. 
It is a contagious disease, easily communicated, may last for 
years, and seldom gets well without treatment. 

INDICATED REMEDIES. 

SULPHUR. This is the principal remedy for acarous itch, 
or true scabies. *Voluptuous tingling, itching, with burning 
or soreness after scratching. Excoriation of skin ; glandu- 
lar swellings. 

MERCURIUS. Itch-like eruption in bends of the elbows. 
*Scabies, where some of the vesicles become pustular. Itch- 
ing all over, worse at night when warm in bed. 

CAUSTICUM. After abuse of Sulphur or Mercury, [Sep.] 
*Involuntary urination when coughing, sneezing or walking. 
Sensitive to cold air. 

ARSENICUM. Inveterate cases. *Itch-like eruptions in 
bends of knees, [see Merc] Pustular eruptions, burning and 
itching, better from external warmth, 



SCARLATINA. 245 

LOCAL MEASURES. Give two or three doses of Sulphur 
daily for a week before using external applications. Rub 
patient thoroughly with Soft-soap for half an hour, then give 
a warm bath, and when dry rub all over with a solution of 
two parts Liquid Storaz and one part Glycerine. Two or three 
operations of this kind will suffice for a cure in nearly all 
cases. 

Take Balsam of Peru gj, Glycerine and water aa g ji. Mix 
and rub well on all parts that are the seat of the eruption. 
Before applying this patient should take a warm bath, using 
plenty soap and friction ; should be repeated three times a 
day for two days. This is an efficient remedy. 



SCARLATINA. 

THERAPUETSCS. Leading indications, 

ACONITE. In commencement, before the eruption makes 
its appearance. * Dry, hot skin, full, frequent pulse, great 
restlessness, violent thirst and hurried breathing. *Great 
fear and anxiety of mind, with nervous excitability. Pain 
in stomach, with nausea and vomiting. 

AILANTHUS. Small, rapid pulse, [full, frequent, Aeon. 
Bell.] Severe headache, with hot, red face. Very drowsy 
and restless, with muttering delirium. *Skin covered with 
a miliary rash, with efflorescence between the points of a 
dnrk, livid color, [smooth, bright-red, *Bell.] The livid color, 
when pressed out with the finger, returns very slowly, [very 
quickly, Bell.] Violent vomiting, with inability to sit up. 

AMM. CARB. Hard swelling of parotid and lymphatic 
glands of neck, [Bary. c] The rash continues out longer 
than usual period. Tendency to gangrenous ulceration. 

APIS MEL. Fever of a typhoid character. *Rash hard, 
sharp, pointed, [smooth, Bell.] Tongue of a deep-red color 
and covered with blisters. *Nose discharges a thick, white 
fetid or bloody mucus, [a thin, purulent matter, Nit. ac] 
Ulcerated throat. Abdomen sore to touch. Dropsical symptoms 
during desquamation. Child lies in a stupor. 

ARSENICUM. The eruption delays or grows suddenly 
pale, with rapid prostration. Putrid sore throat, [Arum. t. Apis.] 
*Great anguish, extreme restlessness, and fear of death. 
*Intense thirst, drinking little and often. *Wheezing res- 
piration. Fetid diarrhoea. 

ARUM. TRI. Corners of mouth and lips sore and 
cracked. Redness of tongue, with elevated papillae. Putrid 
sore throat, [Ars. Nit. ac] Submaxillary glands swollen. 
*Nose stopped, or discharging a burning, ichorous fluid. 
excoriating nostrils and upper lip, [Mur. ac] Eruption all 
over body, with much itching and restlessness. *Scarlatina 
maligna. 



246 THERAPEUTIC KEY. 

BAPTISIA. Typhoid character, [Ars. Lach. Rhus.] *Fauces 
dark red, tonsils swollen and covered with dark putrid ulcers. 
Eruption resembles measles, [*bluish-black eruption, Argen. n.] 
Great fetor of breath, [Ars. Nit. ac] *Tongue cracked, sore, 
ulcerated. Slight delirium, and burning heat of face. Sordes 
on teeth and lips. 

BARYTA CARB. Parotid and submaxillary glands 
swollen, with much saliva, or else dryness of throat. Ton- 
sils swollen, and of a pale red color, with a pressing, sting- 
ing paiu on swallowing. Breath putrid. ^Scrofulous 
children that grow but little. 

BELLADONNA. *The eruption is perfectly smooth and 
scarlet red, [purple colored, Ailan. Mur. ac. Rhus.] Skin so 
hot it imparts a burning sensation to the hand. Tongue 
white, with red edges and prominent papillae. Fauces and 
tonsils inflamed of a dark red color, with burning ;, stinging pain, 
[Aeon. Apis. Cap.] ^Congestion to brain, with delirium and 
throbbing carotids. ^Starting and jumping while sleeping. 
Springs suddenly up in bed, and attempts to escape. Use as 
a prophylactic* 

BRYONIA. The eruption does not come out fully, or 
suddenly disappears, [Cup. act. Ipe.] Congestion to chest, 
with difficult, anxious breathing. Sensation of w r eight upon 
chest, with troublesome cough. Splitting headache, worse 
by motion. Lips parched, dry and cracked. * Patient wants 
to lie perfectly still. 

CALCARIA CARB. Protracted cases, where glands of 
neck are swollen and hard, [Bary. c] Throat greatly in- 
flamed, with aphthae on tonsils and roof of mouth. Does 
not convalesce after regular recession of eruption. Pace 
pale and bloated, showing no signs of rash. *Scrofulous 
children with large heads and open fontanelles. Otorrhoza 
and parotitis following scarlatina, [Bary. c. Bell.] 

CAMPHOR. In desperate cases. Extremities cold and 
purple. Rattling in throat, and hot breath. Hot perspira- 
tion on forehead ; the child refuses to be covered. Sudden 
retrocession of eruption. 

CARBO. VEG. Usually in last stage. *Putrid sore 
throat, with sloughing of fauces. Rattling in throat. 
Great prostration of strength and coldness of extremities, 
[see Ars.] Craves cold air. 

CUPRUM ACET. *When metastasis to brain is apprehended, 
or eruption suddenly disappears, followed by convulsions, 
vomiting, [see Opi.] Rolling of eyes, distortions of face 
and all the flexor muscles. Great restlessness and tossing 
about. Sopor and delirium. 

IPECAC. Slight fever through the day, increased in the 
evening. ^Constant nausea and vomiting of green, bilious, 
or slimy matter. Great uneasiness in the stomach and 
epigastrium. Violent itching of the skin. Sleeplessness, 
with sadness and despondency. 



SCARLATINA. 247 

LACHESIS. Scarlatina maligna, with external swelling 
of neck and glands. Diphtheritic inflammation of throat, 
with great difficulty in swallowing. *External throat very- 
painful to touch. Ulcers on tongue, [Bapt.] * Aggravation 
after sleeping, [Apis.] 

LYCOPODIUM. Inflammation of throat of a brownish 
red color, with stitches on swallowing. * Ulceration of 
tonsils, beginning on right and spreading to left, [beginning 
on left side, Lach.] Obstruction of nose. Rattling in 
throat, and hawking up bloody mucus. Dryness of mouth 
and tongue, without thirst. *Red sediment like sand in 
urine. 

MERCURIUS. Ulcers in mouth, throat and upon tonsils, 
covered with ash-colored sloughs. Deglutition very difficult, 
attended with stinging pain. Fluids escape through mouth 
and nose when attempting to swallow, [Bell. Lach.] Very 
fetid breath. *Profuse secretion of saliva, often offensive. 
Acrid discharge from nose. 

MURIATIC ACID. Malignant cases; tonsils and throat 
swollen, inflamed, and covered with dark-colored ulcers, 
[Phyto.] Great tendency for sloughs to extend and run 
together. Dark-redness of face, and purplish color of skin. 
Discharge of thin, acrid pus from nose, excoriating the parts, 
[Arum.] *Sliding down in bed. 

NITRIC ACID. Putrid sore throat extending up into nose. 
Profuse discharge of thin, purulent matter from nostrils. 
Putrid- smelling breath; mouth full of fetid ulcers. Swelling of 
the parotid and submaxillary glands, [Bary. c. Merc] 
Ulceration of the corners of the mouth and lips. After 
abuse of mercury. 

OPIUM. * Extreme drowsiness, stertorous breathing, and 
vomiting. Delirious talking, with eyes wide open, face red 
and puffed up, [see Zinc] *lmpending paralysis of brain. 
Spasms, with loud screams. 

RHUS TOX. The rash is dark-colored and itches violently, 
[scarlet-red. Aeon. Am. c Bell.] * Drowsy state, with delirium. 
Tongue red and smooth, with triangular, red tip. Much fever 
and restlessness, particularly after midnight. *Pain in limbs 
and joints. Ichorous or yellow, thick discharge from nose. 
*Constantly changing position. 

SULPHUR. Bright-redness of whole body. *Violent itching, 
tingling of skin, with burning after scratching. *Child 
jumps, starts, and screams fearfully. Where other well-chosen 
remedies have failed to have the desired effect. 

ZINCUM. *Threatening paralysis of brain. The child 
lies in a state of unconsciousness. Jerking of whole body, 
or twitching of single limbs. Grating of teeth, and shrill, 
frightful screams during sleep. Small, frequent pulse, and 
fixed, stupid expression of the eyes. Icy coldness of skin 
from sunken vitality. 



248 THERAPEUTIC KEY. 

PREVENTIVE MEASURES. During the prevalence of 
scarlet fever use Belladonna as a prophylactic. Look well 
after drainage and sewer-pipes, and use disinfectants. In 
case of death disinfect body and place in coffin soon as 
possible. Private funeral, 

AUXILIARY MEASURES. Isolate patient, if possible, in 
a light, airy, upper room. Send other children from house, 
and have few nurses as possible. Divest room of all needless 
furniture — curtains, carpet, rugs, etc. Secure free ventilation. 
Disinfect all excretions. See article Sick-Room. Keep patient 
scrupulously clean. Change body-linen and bed-clothing 
often. Sponge body off two or three times a day with water 
at 90° F., wrap in dry sheet, and let the skin dry without 
being rubbed. Keep sharp lookout for kidney complications. 

For the troublesome itching of skin, anoint the surface 
with cocoa-butter, or reasty bacon. The tenacious phlegm 
that accumulates in throat may be loosened and removed by 
taking teaspoonful doses of equal parts Glycerine and water. 
Hot fomentations or poultices to the swollen throat often very 
valuable. 

DIETETICS. During violence of attack, fresh milk, ice- 
cream, thin gruels, orange juice, etc,, will suffice. Pure 
fresh water may be drank liberally. After the crisis, beef- 
tea, mutton or chicken broth, cream toast, light puddings 
and ripe fruits may be taken. All alcoholic stimulants 
should be discarded. 



SCIATICA.-COXALGIA. 

THERAPEUTICS. Leading indications. 

ARGENT. NIT. Periodical drawing cramp-like pains, from 
hips down to knee. *During paroxysm, sensation of ex- 
pansion of limb. Paralytic weakness of limbs, with emacia- 
tion. Worse in morning, and after dinner. 

ARNICA. If caused by over-exertion, lifting, straining, [Ars. 
Rhus. J * Tearing, drawing pains, insufferable, drive him 
crazy. Constantly changing position of limbs. Everything 
on which he lies feels too hard, [Bapt.] 

ARSENICUM. Violent shooting, tearing pain in hip, thigh, 
groin and left foot. * Severe pain extending from hip down 
posterior part of thigh to knee. Pain least felt when mov- 
ing affected part, After great exertion, etc. 

BELLADONNA. Pain in hip-joint, especially at night, has 
to change position often. *Worsefroin leastjar, even to step- 
ping of other persons in room. Cannot bear least draught 
of air. Better from warmth, and letting limb hang down. 
* Wants to sleep, but cannot. 

BRYONIA. Stabbing pain in hips, pain comes from head 
of femur, extends along anterior surface of thigh to knee. 



SCIATICA. — COXALGIA. H4S 

*Lies best on painful side, [Calc. Ign.] Worse from least 
motion ; often relieved by cold water. 

CHAMOMILLA. Violent drawing, tearing pains, from left 
ischium to heel and sole of foot, with cramp-like tension of 
muscles. Numb feeling in affected parts after motion. *Be- 
eomes almost furious about the pains. Worse at night in bed, 
and from motion. 

COCCULUS. *Pain as if hip was screwed together, [see 
Colo.] Shooting pain like lightning down whole limb, [Colo.] 
Pains worse from motion, and attended with cold extremities. 
After the pain, parts feel numb. 

COLOCYNTH. Crampy pain in hip as if screwed in a vice, 
lies upon affected side, with knee drawn up. *Shooting pain, 
like lightning, down whole limb. Pain sets in suddenly, is 
constant in character, becoming intolerable in paroxysms. 
Worse from touch, cold, and motion. Better from perfect 
rest or warm applications. 

EUPATO. PUB. *SeveFe shooting pains in course of left 
nciatic nerve, producing a palsied sensation, especially after 
/notion. Gnawing in hip-bone; legs feel tired,' particularly 
left. Neuralgia of right shoulder, pains come instantly, and go 
us quickly, [Bell.] 

HEPAB SULPH. Pain in left hip as if sprained, worse 
from motion, touch, and exposure to air. *Better from being 
wrapped up and keeping quiet. 

IGN ATIA. *Throbbing pain in hip as if joint would burst, 
iccompanied by chilliness. In chronic cases, and where the 
disease is intermitting, occurring every day or every other 
day. Better in summer, worse in winter. 

IBIS VEBS. *Sudden shooting along the sciatic nerve, 
causing lameness, worse from least motion. Shooting, burn- 
ing pain in right shoulder. * Gastric sick- headache, with 
vomiting sweetish water or bilious matter. 

LACHESIS. *Sciatica of left side, pain as from a hot iron, 
worse after sleep. Pain constantly changing locality, now in 
head, now in teeth, now in sciatic nerve, [see Puis.] Ner- 
vousness and palpitation of heart. 

LEDUM. Pinching, drawing pain in hip-joint, descending 
along posterior surface of thigh. The pain frequently runs 
from below upwards, [Nux.] Affected limb cooler than rest 
of body. 

LYCOPODIUM. *Coxalgia, with violent jerks of the limbs. 
Stiffness, weakness and formication in affected limb. Con- 
stant sense of fermentation in abdomen. *High-colored 
urine, with red, sandy, sediment. Constipation, almost im- 
possible to void the stools. 

MENYANTHES. Stitching, contractive pain in region of 
hip-joint. * When sitting, thighs and legs are spasmodically 
jerked upwards. Pain relieved by motion and pressure. 
After abuse of quinine. 

NUX VOMICA. * Darting pains from below upwards, [see 
11* 



"250 THERAPEUTIC KEY. 

Ledum.] Stiffness and contraction of the limb. Can lie best 
on painless side, [see Bry.] Pain relieved by hot water. 

PHYTOLACCA. *Neuralgic pain on outer side of thigh, 
shooting, drawing and aching. Worse from motion and 
pressure, and at night. Rheumatic diathesis. 

PLUMBUM. Drawing, pressive pains in sciatic nerve, in 
posterior part of thigh, down to knee. Oreat exhaustion 
after walking. Tubercular diathesis, hacking cough. 

RHUS TOX. If caused by exposure to wet or straining in 
lifting, [see Am.] Sciatica of right side, dull, aching pain, 
worse at night, in cold or damp weather. Numbness and 
formication of parts, [Lye] Pains relieved by rubbing, heat, 
and when warmed by exercise. 

TELLURIUM. *Pain in sacrum, passing into right thigh 
down sciatic nerve. Worse when lying on painful side, [better, 
Bry. Ign.] Chilly, with the pains, [Ars. Bell.] 

VALERIANA. *Pain in hip and thigh, intolerable whilst 
standing, with a feeling as if the thigh would break off. 

AUXILIARY MEASURES. Electricity often gives good 
results. Place positive pole over point where nerve emerges 
from sciatic foramen, and the negative where most pain is 
felt along the nerve. Bags of hot salt often relieve. Cover- 
ing the part with flannel, and running a hot iron over, very 
beneficial. In some cases cold applications give most relief. 
The operation of nerve-stretching has proved successful. 



SMALL-POX.— VARIOLA. 

PREVENTIVE TREATMENT. 

VACCINATION. A person should be vaccinated at least 
twice — in infancy and at puberty, and on other occasions 
when exposed to the contagion. Only the purest vaccine or 
bovine virus should be used. We prefer a scab from off the 
arm of a healthy child who has been vaccinated with bovine 
virus. 

Operation. Take a small piece of the crust and moisten 
with water till of the consistence of cream. Now with the 
point of a lancet make several slight horizontal and transverse 
cuts in the skin, and rub the virus in, or, if points used, 
moisten and rub on in same manner. 

COURSE OP VACCINE DISEASE is as follows:— 

On 3d day. — A small, red, elevated spot appears. 
On 6th day. — A pearl-colored vesicle, centre depressed. 
On 8th day. — Vesicle distended with lymph, surrounded 
with red areola. 

On 10th day. — Areola begins to fade. 

On 14th day. — A dark-brown scab will have formed. 

On 21st day. — The scab usually drops off. 



■ 1 



SMALL-POX. — VARIOLA. 251 

On the evening of the 8th day it is best to give a dose of 
Sulphur or * Thuya, to abort any tendency to eruptive disease. 

MEDICAL TREATMENT. 

ACONITE. At the commencement, during the febrile 
sfnge, especially if there be congestion to the head or lungs. 
Headache, bleeding at the nose, and injected eyes. Fullness 
in the chest, with increased action of the heart. Pain in 
the back, and aching in the limbs. 

AMM. CARB. Hemorrhagic diathesis, [Ham. Phos.] Bleeding 
from nose, gums and bowels. Putrid sore throat, and tendency 
to gangrenous ulcerations. 

APIS MEL. Erysipelatous redness and swelling, with 
stinging, burning pains. *Stinging and burning pains in 
throat, [Aeon.] *Sensation in abdomen as if something 
tight would break. 

TARTAR EM. This remedy has been found to greatly 
ameliorate the disease. It reduces the fever, and the pustules 
run their course, leaving scarcely a mark behind. Especially 
suited where there is much irritation of the respiratory 
organs. 

ARSENICUM. The eruption is dark, and skin turns blue 
or livid. Great sinking of strength ; small, freo x uent pulse 
and restlessness, [Camph.] *Extreme thirst, drinking little 
and often. * Great anguish and fear of death. Hemorrhagic 
variola, [*Ham.] 

BELLADONNA. Congestion to head, with throbbing or 
stitching pain in forehead. High fever and sore throat. 
*Starting, jumping during sleep. Restless tossing about, 
cannot get to sleep. *Pain in back as if it would break. 
Ophthalmia. 

CAMPHOR. Sudden desiccation of pustules and disappear- 
ance of swelling. ^Extreme prostration and sinking of vital 
forces, [*Ars.] *Great coldness of skin, but cannot bear to 
be covered. 

CIMICIFUGA. *General bruised, sore feeling. Exhaus- 
tion, with nausea. Reduces the danger of pitting. 

HAMAMELIS. *H9emorrhagic variola. Blood, dark, venous 
and oozing from nose, gums, etc., [see Amm. c] HsemaU'- 
mesis, bloody stools, uterine hemorrhage. Typhoid condition. 

HYDRASTIS. Great redness, swelling and itching of skin, 
with very sore throat. ^Intense aching in small of back, 
legs feel very weak and ache. It is said to prevent pitting 
to a great extent, [Cimi.] 

MERCURITJS. During suppurative stage. *Moist, swollen 
tongue. Ulcerated throat, with profuse flow of saliva. Diar- 
rhoea with green or bloody mucous stools, with tenesmus. 
*Perspiration without relief. 

OPIUM. If brain becomes oppressed, and there is great 
drowsiness, with stertorous breathing, *Complete loss of con- 
sciousness. Dilated pupils. 



252 THERAPEUTIC KEY. 

KHTJS TOX. The disease has assumed a typhoid character. 
Tongue dry and cracked, with red tip ; corners of the mouth 
sore and ulcerated. Sordes on the lips and teeth, mind 
wandering. Great debility and restlessness. *Worse after 
midnight. 

SARRACENA. It is claimed by some that this remedy 
exerts a salutary effect over all forms of the disease. But 
as we have no proving of it, there is no reliable data for its 
application. 

SULPHUR. In early stage, and about the perid of desic- 
cation; also as an intercurrent remedy when others seem to 
fail. Metastasis to brain, 

VACCININ and VARIOLIC have been highly extolled as 
remedies in this disease. It is said, by those who have used 
them extensively, that all stages of the malady are short- 
ened, and the disease rendered mild and harmless. *They 
promote suppuration and exsiccation, and prevent all scars. 

AUXILIARY MEASURES. Complete isolation in upper 
airy room. The freest possible ventilation. Temperature of 
room at 60° F. Cleanliness of great importance. Burn all 
soiled rags, and disinfect all discharges and soiled linen. 
Sponge body frequently with warm water, and dry in a sheet 
without rubbing. Keep room dark, and protect pustules from 
injury. Cover the face with cloths saturated with milk, or a 
thick mucilage made of starch to prevent pitting. For ulcers 
in the mouth and throat, use gargle of kali Mo., [8 grs. to 
ounce of water.] 

DIETETICS. During inflammatory stage, milk, ripe 
fruits and mucilaginous drinks should constitute the chief 
articles of food. Later, a more nutritious diet must be 
allowed, animal broths, beef-tea, eggs, oysters, rice-puddings, 
toast, etc. 

FUMIGATION. The room should be thoroughly fumi- 
gated after patient has left it, and the clothing destroyed or 
buried for a time in the earth. 



SOEE NIPPLES. 

TREATMENT. During the last few weeks of pregnancy 
the nipples should be manipulated with the thumb and linger 
wet with cold water, to accustom it to the friction of nursing. 
A weak solution of Alum or Borax is very good to harden 
the skin and prevent tenderness. 

Where the skin has become excoriated and the nipples 
sore, as if bruised, bathing the parts with a solution of 
Arnica [20 drops to the ounce] will be found very useful. 
If ulcers form and incline to suppurate and bleed, use a 
lotion of Calendula, [30 drops to the ounce.] Anointing the 
parts with Tr. Benzoin and Glycerine, equal parts, valuable 
in the cure of fissures. 



SORE THROAT. — ANGINA FAUCIUM. 253 

Where any of the above remedies have been applied, the 
nipples should be well washed off with warm water before 
allowing the child to nurse, and a rubber shield should be 
used to protect the parts until entirely healed. 

Where the morbid condition depends upon a scrofulous 
taint, or some latent eruption, like tetter, erysipelas, etc., 
one of the following remedies should be exhibited. 

CALCARIA CARB. Unhealthy skin, very little injury 
inclines to suppurate, [Graph. Sulph.] Sore, chapped 
nipples, with deep cracks. *Cold, damp feet. 

GRAPHITES. The chapped nipples burn and ache, and 
nre tender to touch. *Eruptions on skin oozing a sticky 
fluid. Skin dry, inclines to crack. 

HEPAR STJLPH. Deep cracks in the parts, which incline 
to suppurate. * Burning, stinging in the ulcers, which 
bleed easily. Unhealthy skin. 

STJLPHTJR. Sore, chapped nipples, with deep fissures 
around the base, which bleed and burn. *Dry, scaly skin. 
Scrofulous habit. 



SORE THROAT.-ANGINA FAUCIUM. 

THERAPEUTICS. Leading indications. 

ACONITE. Febrile excitement, with anxiety and restlessness. 
*Dark redness of soft palate and uvula, with pricking, 
burning in throat. Feeling of dryness, as if something had 
stuck in throat, and hoarseness. 

.ffiSCTJLUS HIP. Tonsils dark, congested and swollen. 
*Dryness, burning and constriction in fauces. Pricking 
pain in fauces. Hawks up ropy mucus of a sweetish taste, [see 
Kali b.] * Hemorrhoids, with dull backache. 

AILANTHUS. *Throat livid, swollen, tonsils studded 
with deep, angry-looking ulcers, with scanty, fetid discharge. 
*Neck tender and very much swollen. 

AMM. CARB. Putrid sore throat, with burning pain, 
[Apis. Arum. Bapt.] Gangrenous ulcerations of tonsils. 

APIS MEL. * Tonsils bright red, stinging when swallow- 
ing, [Aeon.] Deep ulcers on tonsils or palate. *Great 
dryness of throat, [Bell. Phos.] Erysipelatous and (edematous 
appearance of throat. Hoarseness and difficulty in swallowing. 

ARGENT. NIT. *Uvula and fauces dark red, [Bell. Bapt. 
Cap. — bright red, Aeon. Apis.] *Thick, tenacious mucus in 
throat, obliging him to hawk, [Cimi. Phos. ac. Kali, c] Sen- 
sation as if a splinter had lodged in throat when swallowing, 
[Hepar. Nit. ac] *Head feels too large. 

ARUM TRI. *Throat and tongue very sore, burning 
pains, putrid ulcers in fauces. Buccal cavity raw, sore, 
bleeding. Refuses all food and drink on account of soreness. 
*Lips as if scalded. * Acrid discharge from nose, excoriat- 
ing nostrils and upper lip. 



254 THERAPEUTIC KEY. 

BAPTISIA *Fauces dark red, studded with dark putrid 
ulcers, [see Ailanth.] Liability to quinsy from every slight 
cold, [Baryta.] Tongue cracked, sore, ulcerated. * Throat 
feels as if constricted, [as if expanded, Hyper.] Tickling in 
throat provoking cough ; uvula elongated, [Cap.] 

BARYTA CARB. * Chronic induration of tonsils, [Lye] 
Sensation as of a plug in throat, [Bell. Lach. Merc. Nux.] 
Smarting in throat when swallowing. Scrofulous subjects, 

BELLADONNA. * Inflammatory redness of soft palate, 
uvula and tonsils. Great dryness of throat, [Apis. Bry„ Phos.] 
Burning, shooting pains in throat when swallowing. *When 
drinking, fluids return through nose, [Lach. Merc] Constant 
inclination to swallow or hawk up something. * Spasmodic con- 
striction of fauces. 

CACTUS GRAND. * Constriction of throat, exciting a con- 
stant desire to swallow, [Bell.] Must take large draughtg 
of water to force the fluid into stomach. 

CALC. CARB. Inflammatory swelling of palate and uvula 
or tonsils, with constrictive sensation in throat when swal- 
lowing. Pain in throat, extending to ears. Scrofulous 
diathesis. 

CANTHARIS. Burning in mouth, extending down 
pharynx, oesophagus and stomach, [Gel.] *Throat feels as 
if on fire, is inflamed and covered with plastic lymph. 

CAPSICUM. * Inflammation, with dark redness and burn- 
ing in throat, [Aeon. Bell.] Soreness, smarting, burning and 
biting in throat. * Uvula elongated, feels as if pressing on 
something hard. Chilliness in the back. 

CHAMOMILLA. Soft palate and tonsils dark red, [see Arg. 
n.] Sore throat, with swelling of parotid or submaxillary 
glands. * Catarrhal hoarseness of trachea, with dryness of 
eyelids. *Redness of cheeks, or one red and the other pale, 
[Aeon.] 

CIMICIPUGA. *Dry spot in throat, causing cough. 
Dryness of pharynx, with constant desire to swallow. 
Sensation of fullness in throat, [Gel. Glon. Sili.] Uvula and 
palate swollen. Hawks up a viscid, coppery -tasting fluid, 
[soft fetid tubercles, color of peas, *Mag. c. — hard, greenish 
lumps, Merc. iod. rub.] 

GELSEMIUM. Fauces dry, burning, irritated, sore. Tonsils 
inflamed, swollen, mostly in or beginning on right side, [Bell. 
Lye. — left side, Lach.] * Throat feels as if filled up, [see 
Cimi.] Burning in oesophagus from mouth to stomach, [see 
Canth.] Hawking up bloody water, [bloody mucus, Mag. m.] 

HEPAR SULPH. Scraping in throat, impeding speech. 
^Sensation in throat as if caused by a splinter or a fish-bone, 
[Arg. n. Nit. ac] Stitches in throat, extending to ear when 
swallowing, or when turning the head, [see Nux.] Hawking 
up mucus, [see Gel.] Unhealthy skin. 

IGNATIA. *Stitches in throat when not swallowing, [when 
swallowing, Bry. Lach.] Choking sensation from stomach 



SORE THROAT. — ANGINA FAUCIUM. 255 

np into throat. *Sensation of a lump in throat, [Bell. Hep, 
Lach. Merc. Nux.] Better when swallowing food. 

IODIUM. Swelling and elongation of uvula, [Bapt. Cap. 
Merc.] Inflammation of throat with burning pain. Sensa- 
tion of fullness in larynx, impeding deglutition, [see Cimi.] 
Ulcers in throat, with swelling of glands of neck. 

KALI BICHRO. Fauces and palate erythematous, bright, 
or dark-red, or coppery. ^(Edematous uvula. *Ulcers in 
fauces, discharging cheesy lumps of offensive smell, [hawks up 
soft, fetid tubercles, color of peas, *Mag. c] 

LACHESIS. Uvula elongated, fauces purplish, swollen or 
ulcerated. *Pain and soreness begin on left side, [right side, 
Bell. Lach.] When swallowing, pain shoots into ear, [Apis.] 
*Can bear nothing to touch the neck, [see Phyto.] 

LYCOPODIUM. Chronic enlargement of tonsils, [Bary. c] 
*Swelling and suppuration of tonsils, going from right to 
left, [see Lach..] Hawking bloody mucus, or hard, greenish- 
yellow phlegm, [Mag. m. — hawking yellow, tough mucus 
from posterior nares, Hydras.] 

MANCINELLA. Angina following scarlatina. Great elon- 
gation of uvula, [Bapt. Cap. Lach.] Yellowish-white ulcers 
on tonsils, with violent burning pain. Choking sensation 
rises in throat when speaking. 

MERCURIUS. Uvula swollen, elongated. ^Rawness, rough- 
ness, and burning in throat. Swelling and inflammatory red- 
ness of the affected parts. *Difficult deglutition, especially of 
liquids, which frequently return through nose, [Bell. Lach.] 
*Tonsils dark-red, studded with ulcers. Painful dryness of 
throat, with mouth full of saliva. *Profuse sweating without 
relief. Worse at night and in evening. 

MERCURIUS COR. Uvula swollen, elongated, dark-red. 
Throat intensely inflamed, preventing swallowing and caus- 
ing suffocation. Tonsils swollen and covered with ulcers. 
*Pricking in throat as from needles. *Retching and vom- 
iting on attempting to swallow. 

NUX VOMICA. *Throat raw, sore, rough, as if scraped. 
Pain as if pharynx was constricted, or as if a plug was stick- 
ing in throat, during empty deglutition. Stitches into the ear 
when swallowing, [see Lach.] Irritable mood, sedentary habits. 

PHOSPHORUS. Rawness and scraping in pharynx, worse 
towards evening, [in morning, Nux.] *Hoarseness with loss 
of voice. Dryness of throat day and night, it fairly glistens. 
Sensation as of cotton in throat. 

PHYTOLACCA. Sore throat, worse on right side. Fauces 
dark, bluish-red, [purplish, Lach.] *Feels as if a red-hot 
ball was lodged in fauces. Cannot bear touch of clothing 
about neck, [Lach.] Uvula large, transparent Cannot drink 
hot fluids. 

PULSATILLA.' *Throat sore, and feels raw. Veins promt- 
nent, throat inflamed, bluish-red, [see Phyto.] Cutting, 
burning when swallowing. Mild, tearful disposition. 



256 THERAPEUTIC KEY. 

RHUS TOX. After straining the throat, it feels sore and 
stiff. *Erysipelatous inflammation of throat, [Bell. Merc] 
Sticking or stinging pain, worse when beginning to swallow. 
Throat feels swollen. Rheumatic subjects. 

SILICEA. Sore throat, with tough slime in the fauces. 
Tonsils swollen, each effort to swallow distorts face. *Throat 
feels as if filled up, [see Gel.] Pricking in throat as from a 
pin, causing cough. Frequent cough, bringing up white, 
frothy, saltish mucus. 

CLINICAL REMARKS. In some cases of sore throat, 
especially where there is laryngeal complications, the use of 
the voice should be interdicted. When local suffering is 
severe, demulcent drinks as hot gum arabic or ulmus fulva- 
water will palliate. Drinking hot water or frequently garg- 
ling throat with the same will be found beneficial. 

Persons subject to sore throat should wear good heavy 
shoes to protect the feet, flannel next the skin, and be careful 
to avoid draughts. [Comp. Chronic Catarrh, page 62.] 



SPOTTED FEVER. 

( Meningitis Cerebro-spinalis. ) 

THERAPEUTICS. Leading indications. 

ACONITE. Chill, fever, restlessness, and great thirst. 
Crawling or numbness in spine. Despairing mood and fear 
of death. *Painful stiff neck. 

ARNICA. *Soreness in all the limbs as if bruised. 
Ecchymosed spots on skin, [Crotal.] Stupid, apathetic 
condition. Great weakness of cervical muscles. 

BELLADONNA. ^Violent throbbing headache, [Chin, s.] 
Great soreness and stiffness of neck, [Bry.] Dilated pupils, 
with double vision, [Gel. Hyos.] Delirium, with frightful 
figures before the eyes. 

BRYONIA. Splitting headache, worse from motion, [Bell.] 
Stiffness of neck, [Aeon.] Pain in joints and limbs, [Crotal.] 
Soreness of stomach. 

CHIN. STJPLH. Involuntary closing of eyelids from 
prostration, [see Gel.] Violent throbbing headache, [Bell.] 
Redness of face, and vertigo. Great prostration. *Pain in 
dorsal vertebra on pressure. 

CIMICIFUGA. Intense pain in head, as though a bolt 
were driven from neck to vertex with every throb of the 
heart. *Sensation as if top of head would fly off, and as if 
the cerebellum was too large for skull. Stiffness of the back, 
[Bell. Bry.] Tonic and clonic spasms, [Hyos.] Intense pain 
in eyeballs. Tongue swollen. 

CROTALXTS. Horrid headache, with feeling of tightness in 
brain, [Opi.] Red face and delirium, with open eyes, [Opi.] 



SPRAINS. 257 

Red spots on all parts of body. Pain in all the limbs, [Bry.] 
Heart-beat feeble. 

GELSEMIUM. Dull pain in back part of head. Feels as 
if intoxicated. *Paralysis of eyelids. Double vision and 
dilated pupils, [Bell. Hyos.] Complete loss of muscular power. 
Pulse very- feele, [very slow, Opi.] Labored breathing. 
Nausea and vomiting. 

LYCOPODITJM. Stupor and delirium, [Opi.] Stupefying 
headache extending down the neck. * Fan-like motion of 
nostrils. Sinking of lower jaw, [Opi.] Jerkings of limbs 
and body. 

OPIUM. * Stupor, and deep, slow breathing. Congestion 
to head, occiput feels heavy as lead, *Very quick or very slow 
pulse. Drawing the body backwards and rolling it from side 
to side. Spasms, with tossing of limbs. Worse while sweating, 
[better, Gel.] 

AUXILIARY MEASURES. Free perspiration is advised in 
the early stage. Put two teaspoonfuls of Alcohol in a gill of 
water, and give teaspoonful doses every half hour until 
desired effect is produced. Others advise hot baths, and 
wrapping in warm blankets to induce perspiration; while 
others again use hypodermic injections of Pi locarpin [J- of a 
grain] or Fl. Extr. Jaborandi [10 to 30 drops] every half 
hour until free sweating occurs. 

DIETETICS. Plain, simple food should be given during 
the stage of excitement, as in other febrile diseases. During 
the stage of depression, beef essence, broths, milk, eggs, 
oysters, etc., should be served liberally. 



SPRAINS. 

THERAPEUTICS. If case is seen early, and before 
inflammation has set in, apply compresses wet in cold Arni- 
cated water. These must be changed frequently and the limb 
kept elevated and at perfect rest. Should the parts become 
inflamed and swollen, substitute hot Arnicated fomentations for 
the cold compresses, and give Arnica internally. 

Other remedies as Rhus. Ruta and Hyper, are valuable in 
some cases, and may be used externally and internally when 
properly indicated. 

LEADING INDICATIONS. 

ARNICA. Chief remedy in injuries of this kind. *Much 
swelling, with bluish redness and intense soreness. Pains 
almost insufferable. 

RHUS TOX. Especially for sprains from over-liftng, par- 
ticularly where tendons are involved. *Pain as if the flesh 
was torn from the bones. Worse after midnight and in damp 
weather, 

HYPERICUM. Sprains or lacerations where nerves are 



258 THERAPEUTIC KEY. 

severely involved. The parts feel as if dislocated ; pains 
excruciating. Threatened lockjaw. 

RUTA GRAV. Sprains and other mechanical injuries 
where periosteum is especially involved. Bruised feeling all 
over, [Arn. Hyp.] Worse in wet, cold weather, 

ACONITE. High fever; restlessness, and nervous excita- 
bility. Tains insupportable, especially at night. 



stomatitis. 

THERAPEUTICS. Leading indications. 

ARSENICUM. * Aphthae in mouth, they become livid or 
bluish. Painful blisters in mouth and on tongue burning 
like fire. Edge of tongue red, takes imprint of teeth, 
[*Merc] Swollen, bleeding gums. t [Bapt.] 

BAPTISIA. Putrid ulceration of buccal cavity with sali- 
vation, [Merc. Phyt.] Gums loose, flabby, dark-red, purple, 
fetid. *Fauces dark-red, studded with dark, putrid ulcers. 
Stomatitis materna, f Bapt. Carb. v. Hydras.] 

CANTHARIS. * Mucous membrane, red, and covered with 
small blisters. Burning pain in mouth, throat, and stomach. 
Copious, disgusting, sweet saliva. * Urging to urinate, with 
painful emissions by drops. 

CAPSICUM. Small, flat, burning ulcers in mouth and fauces. 
*Fetid breath, smelling like carrion. *Throat inflamed, 
dark-red, burning, biting. Viscid, offensive saliva. 

CARBO VEG. Mouth hot, tongue almost immovable, saliva 
bloody. *Gums loose, receding, ulcerated, and bleeding. 
Greatly troubled with flatulence. 

DULCAMARA. Stomatitis after abuse of mercury, [Carb. v. 
Iod. Iris. Nit. ac] Gums spongy, saliva tenacious, and cer- 
vical glands swollen. Rheumatic diathesis. 

HELLABORUS. Mouth, gums, and tongue full of flat, 
yellow ulcers, with elevated gray edges. Carrion-like odor 
from mouth, [Cap.] Tongue trembling, numb. 

HYDRASTIS. Stomatitis after mercury , or chlorate of potash, 
[see Dulc] * Ulcers in mouth of nursing women, or weakly 
children. Peppery taste; tongue as if burned, or raw, with 
dark-red appearance and raised papillae. *Rawness of 
fauces, and ulcers in throat. 

IODIUM. Gums red and swollen, receding from teeth, 
bleeding slightly. *Painful ash-colored ulcers in mouth. 
Profuse fetid ptyalism. Ulcers in throat, with swelling of 
glands of the neck. 

IRIS VERS. Burning in mouth and fauces, as if on fire. 
Ulcers on mucous lining of cheeks. Saliva tastes greasy. 
* Tongue feels as if scalded, [Hydras.] 

KALI IOD. * Irregular ulcers, looking as if coated with 
milk. Bloody saliva, with sweetish taste in mouth. Burn- 
ing of the tip of the tongue. 



STYE.— HORDEOLUM. 259 

MERCTTRITTS. Mouth inflamed, with burring, aphthous 
ulcers. *Copious, fetid, ropy salivation. *Red, spongy, 
receding, ulcerated gums, with burning pains at night. 
Teeth loose and gums painful to touch, * Tongue swollen, 
flabby, taking imprint of teeth, [Ars.] Glands swollen. 

MERC. CORRO. Mouth feels as if scalded, [tongue y 
Iris. Hydras.] Corroding, eating ulcers in mouth, throat, and 
ou gums, with fetid breath. Ptyaiism, with salty taste; 
saliva bloody, yellowish, tough, acrid. Painful burning in 
mouth, extending to stomach. 

NITRIC ACID. Mucous membrane swollen, ulcerated, 
with burning pains, especially after abuse of mercury. 
*Gums white, swollen, bleeding. Teeth loose, [*Merc] 
Cadaverous smell from mouth, [Merc] Corners of mouth 
ulcerated. Parotid glands swollen. 

NUX VOMICA. Roof of mouth, throat and gums inflamed, 
swollen. *Small aphthous ulcers in mouth, with putrid 
smell. Gums white, putrid, bleeding. High livers and persons 
of sedentary habits. 

PHYTOLACCA. Inflammation and ulceration of buccal 
cavity. *Small ulcers on inside of cheek, very painful. 
Tonsils enlarged, bluish, ulcerated. Yellow saliva, of a 
metallic taste. Teeth feel sore. 

SILICEA. Stomatitis, mouth gangrenous, with perforat- 
ing ulcer on palate. *Gums inflamed, and very sore. Con- 
stipation, stool recedes after being partially expelled. 
Throat feels as if filled up. 

AUXILIARY MEASURES. As local applications in the 
severer cases, some advise a weak solution Sulphite of Soda, 
[a drachm to ounce water,] rinse mouth three or four times 
a day. Carbolic Acid one drachm, Glycerine two ounces, 
water six ounces. Mix and wash the mouth out several 
times a day. A solution of Kali Chlo. [8 grains to the 
ounce] is also recommended. 

DIETETICS. Strict attention should be given to diet. 
Well boiled rice, oatmeal gruel, farina, fresh milk, mutton 
broth, cracker gruel, barley water, and in some cases beef 
tea. Acids of all kinds, sweets, and condiments must be 
avoided. 



STYE.-HORDEOLTJM. 

A small inflammatory tumor located on the free edge of 
eyelids, usually near the inner angle of the eye. It is often 
very painful, and attended with headache. 

TREATMNET. Special indications. 

PULSATILLA This remedy given in the early stage will 
usually disperse it. *Especially adapted to styes on upper 
lid, [Phos. ac. Lye. — on lower lids, Rhus.] Lids swollen, itch, 
bum. 



260 THERAPEUTIC KEY. 

STAPHYSAGRIA. Frequently appearing styes. Margins 
of lids dry, with hardened styes, or tarsal tumors, sometimes 
ulcerating. 

HEPAR STJLPH. Where there is a tendency to a recur- 
rence of the complaint ; suppuration inevitable. ^Unhealthy 
skin, every little injury inclines to suppurate. 

MERCURITJS. Tumor hard, inflamed and painful. The 
abscess matures very slowly, [Hepar.] *Profuse sweating 
without relief. 

LOCAL MEASURES. Some cases require mild flaxseed 
meal poultices or hot fomentations to relieve the pain. Soon 
as abscess points open with sharp lancet. 



SiniSTROKE.-COTJP DE SOLEH. 

THERAPEUTICS. Leading indications, 

ACONITE. If the head has been exposed to direct rays of sun, 
or body to excessive heat. Arteries of head throb violently. 
Violent thirst, red face, shortness of breath, and great 
nervous excitability. 

AMYL NITRITE. Congestive stage of sunstroke. Great 
anxiety, and longing for fresh air. Head confused and 
giddy, as if intoxicated. *Head feels full to bursting, with 
sensation of blood rushing upwards. * Red face, with flashes 
of heat, particularly up sides of head. Dyspnoea and constric- 
tion in chest and heart, [Cact.] 

BELLADONNA. *Severe headache and fullness as if head 
would split; worse when stooping. Feeling in forehead as 
if brain would be pressed out. *Vertigo when stooping or 
rising from a sitting posture. 

BRYONIA. Splitting headache, aggravated by the least 
motion, [Bell.] Very peevish in morning, is more passionate 
and cross than plaintive. *Cannot sit up from nausea and 
faintness. *Dry, hard stools, as if burnt. Head feels too 
full, [too large, *Glon.] 

CAMPHOR. Sunstroke or inflammation of brain arising 
from exposure to sun. Throbbing, like beats with a hammer, 
in cerebellum, [see Glon.] Eyes fixed, staring, turned up- 
wards or outwards. *Skin icy cold, covered with cold sweat. 
Sinking of vital forces. 

GLONOINE. Intense congestion to head. * Feeling as if 
temples and top of head would burst open. *Violent throb- 
bing headache, with increased action of heart. Fullness and 
pressure in forepart and top of head, with confusion of 
senses. ^Sensation of balancing, requiring a constant effort 
to keep head erect. Undulating sensation, increased by 
every turn of head. Sick, faint, death-like sinking at epi- 
gastrium, with nausea. 

GELSEMIXJM. Severe pain in forehead and vertex, dim 



TETANUS AND LOCKJAW. 261 

sight, roaring in ears. *Head feels enlarged, [Glon.] Great 
fullness in head, heat in face with chilliness. Pulsations of 
the carotids ; thick speech. Brain feels as if bruised. 

AUXILIARY MEASURES. Place patient at once in the 
shade or in a cool room. Have but few persons about. 
Loosen the body clothing and envelope the whole head in 
clothes wrung out of hot water and change them often. Sponging 
the body off quickly with warm water, then wrapping it in a 
dry sheet without rubbing will be found of great value. If the 
feet are cold immerse them in hot water, or apply warm bricks 
to them. 

If patient is in a syncopal state, the inhalation of a few 
drops of Amy I Nitrite, or the holding of spirits of Ammonia 
under the nostrils will give good results. 

Soon as patient can swallow, give a little beef-tea, milk, or 
warm coffee to drink. 



TETANUS AND LOCKJAW. 

THERAPEUTICS. Leading indications, 

ACONITE. Frequent alternation of redness and paleness 
of face, and distortion of eyes, [Glon.] Tetanus in which 
the body is bent backwards, [Cicu. Ign. *Nux. Opi. — bent 
forward, Cup. Hydro, ac. — backwards and forwards, Bell.] 
Face covered with cold sweat. Rigidity of muscles of jaws 
and neck. 

BELLADONNA. Great restlessness, with convulsive 
twitching of muscles of face, jaw, and limbs. *Sudden 
jerks and shrieks during sleep. Inability to swallow. Clinched 
teeth, with painful stiffness of muscles of mastication. lock- 
jaw, [Cicu. *Hydro. ac. *Opi. Verat. a.] Spasmodic motions 
of body, generally backwards. *Throws body forwards and 
backwards. Involuntary discharges of faeces and urine, 
[Hyos. Verat. a.] 

CAMPHOR. Tetanic spasms, with loss of consciousness. 
*Limbs extended and fixed, head bent sideways, lower jaw 
rigid and wide open. Oppressed, anxious, panting breathing. 
*Great coldness of external surface. 

CICUTA VIROSA. Lockjaw and tetanic rigidity from injuries 
inflicted upon head and spinal column. *Convulsions, with loss 
of consciousness, frightful distortions of limbs and whole 
body. Deadly paleness of face. *Body bent backwards, 
[see Aeon.] Inability to swallow. 

CUPRUM. *Jawfl closed, with loss of consciousness, and 
foam at mouth. Twitching, jerkings, or startings during 
sleep, [Bell.] *Body bent forward, [bent backwards, Cicu. 
*Nux. Opi.] Stiffness of whole body, [Bell.] 

HYDROC. AC. *Tctanic spasms, with lockjaw. Bloating 
of face and neck. Protruded glistening eyes, with dilated 



262 THERAPEUTIC KEY. 

pupils, [Bell. Hyos.] Blackish-red color of face. Trunk 
bent forward or backward, [Bell.] Irregular pulse. 

HYOSCYAM. *Dark-red, bloated face, with protruding 
eyes. Clinching of teeth and foam at mouth. Alternate con- 
vulsions of upper and lower extremities. Drawing of neck 
to one side. Rigidity of hands, contortions, and spasmodic 
curvings of body. ^Involuntary discharges of faeces and 
urine. 

NTTX VOMICA. Intermittent fits of spasms, with bending of 
body backwards, and disturbed respiration. *Extreme stiff- 
ness of limbs, with great hardness of muscles. Spasmodic 
attacks from the merest touch. *Full consciousness during 
the spasms, [loss of, Camp. Cicu. Cup.] 

OPIUM. *Staring, glistening eyes, pupils dilated and 
insensible to light, [Hydro, ac] Red, bloated, swollen face, 
[see Hyos. j *Lockjaw. Tetanic spasms, with rigidity of neck, 
or whole body, the trunk curved in form of an arch. Urine 
suppressed, bowels constipated. 

PHYTOLACCA. Reddish-blue swelling of eyelids, pupils 
contracted. *Chin drawn closely to sternum by convulsive 
action of muscles of face and neck. Lips everted and firm. 
Extremities stiff, hands firmly shut, feet extended, and toes 
flexed. General muscular rigidity. Respiration difficult. 

STEAMONltJM. Eyes wide open, rolling, squinting. 
Lockjaw, mouth spasmodically closed. Bending of neck 
backwards, [see Cup.] Hands clinched. Violent motion of 
limbs, with stretching and trembling of hands. 

VERAT. VIE,. Twitching, contortion of eyes, rolling of 
balls. Cold, bluish face, covered with Cold sweat. *Muscles 
of back contracted, drawing head backward. Shocks in 
limbs, [Nux.] Head jerking or continually nodding. 

AUXILIARY TREATMENT. Chloral Hydrate is highly 
commended in the treatment of this distressing malady, 
especially in the subacute form. It may be administered 
hypodermically, and also by the mouth and rectum. Hypo- 
dermic dose 5 grs. dissolved in glycerine. By the mouth, 
average dose 10 to 30 grs. [in syrup with a little peppermint 
water] repeated every hour or two. As an enema, 15 to 60 
grs. in a little water, rubbed up with the yolk of egg, and 
mixed with milk. 

Atropia, administered hypodermically in -i- grain doses, 
has cured many cases. The hot bath, or hot-water bags to 
the spine, and prolonged sweating has given good results. 

Keep temperature of room at about 70° F. and patient very 
quiet; allow free ventilation but avoid drafts and cold air. 

DIETETICS. Nourish well with beef-tea, animal soups, 
milk, soft eggs, oysters, etc. In some cases it may be neces- 
sary to give nutrient enemata, [see page 17.] 



TINEA CAPITIS. — SCALD HEAD. 263 

TDTEA CAPITIS.— SCALD HEAD. 

THERAPEUTICS. Leading indications. 

ARCTIUM LAPPA. Head covered with, a grayish-white 
crust, and most of hair gone. Moist, bad-smelling eruptions 
on heads of children, [Brom. Lye] Crusta lactea, with, 
swelling and suppuration of axillary glands. 

ARSENICUM. Dry, scald head, [Calc. Merc. Sep. Sili. 
Sulph. — moist eruptions, Clem. Graph. Hepar. Lye. Rhus. 
Staph.] Scalp covered with dry scales and scabs, sometimes 
extending to forehead and face. *Burning, itching erup- 
tion, better from warmth. 

BROMIUM. Malignant scald head, with dirty-looking and 
offensive-smelling discharge, [Psor.] In places where eruption 
is dry, skin throws off flakes. Scalp tender to touch. 
^Swelling and induration of glands. 

CALC. CARB. *Thick scabs, with yellow pus, spreading 
to face. Whitish-yellow scales of dandruff, hair dry and 
falls out on sides of head, [Graph..] * Scrofulous children, 
with large heads and open fontanelles, [Sulph.] 

CLEMATIS. Tinea on back part of head and neck. Erup- 
tions moist and sore, often drying up in scales. Parts itch 
violently, worse on getting warm in bed, [Merc] Temporary 
relief from scratching, [Sulph.] 

DULCAMARA. Ringworm on scalp, glands of throat 
swollen. *Thick crusts on scalp, causing hair to fall out. 
Tinea oozing a watery fluid, [a sticky fluid, Graph. — a corrod- 
ing fluid, Nat. m.] Worse in damp, cold weather. 

GRAPHITES. Vesicular eruption of entire scalp, forming 
dirty crusts, matting hair together. *The eruption exudes 
a sticky glutinous fluid. *Rawness in bend of limbs, groins, 
neck, behind ears. Unhealthy skin. 

HEPAR SULPH. Humid eruptions on scalp, feeling sore, of 
fetid odor, [Lye] Falling out of the hair, with very sore, 
painful pimples, and large bald spots on scalp. 

LYCOPODIUM. *Eruption, beginning on back of head; 
crusts thick, easily bleeding, oozing a fetid moisture, [see 
Rhus.] Worse after scratching and from warmth. 

MERCURIUS. *Pustular, fetid eruption on scalp, with 
yellow crusts. Parts bleed when scratched, [Lye. Sulph.] 
Hair falls out on temples and sides, [Graph.] Itching worse 
at night, when warm in bed. 

MEZEREUM. Head covered with a thick, leathery crust, 
under which pus collects and mats the hair, [see Viola.] 
*Elevated, white chalk-like scabs, with ichor beneath, breed- 
ing vermin. Burning, biting, itching on scalp, scratching 
changes locality. 

RHUS TOX. *Eruption suppurating, moist, forming thick 
crusts, offensive, itching. Hair is eaten off and drops out. 
Intolerable itching of parts, worse at night. 

SILICEA. *Eruption on back of head, moist or dry, 



264 THERAPEUTIC KEY. 

offensive, scabby, burning, itching, discharging pus. Erup- 
tion in patches on scalp, exfoliating thin, dry, bran-lik& 
scales. Glands of neck swollen. ^Constipation, stools recede 
after being partially expelled. 

STAPHISAGRIA. *Humid, itching, fetid eruption on 
occiput, sides of head, and behind ears. Scratching increases 
the oozing. Teeth turn black, 

SULPHUR. * Humid, offensive eruption, with thick pus, 
yellow crusts, itching, bleeding, and burning. Scalp sore to 
touch, itching violently in evening, when getting warm in 
bed. After other well-chosen remedies have failed to pro- 
duce desired effect. 

VIOLA TRICO. *Thick incrustations, pouring out a large 
quantity of thick yellow fluid, which agglutinates the hair. 
Tinea capitis, with frequent involuntary urination. *Urine 
smelling like cat's urine. 

AUXILIARY MEASURES. The hair should be kept 
closely trimmed, the head frequently washed with warm 
water, and the whole person kept scrupulously clean. A little 
Olive oil or Vaseline may be applied to the parts to soften the 
dry scabs and facilitate their removal. In some cases it may 
be necessary to apply flaxseed meal poultices to remove the 
crusts, after which dress with a little Vaseline, 



TONSILLITIS.— auINSY. 

THERAPEUTICS. Leading indications, 

ACONITE. Tonsils swollen, inflamed, and of a dark red 
color, with fever, [Bell.] Pain and great difficulty in swal- 
lowing or in speaking. Burning, pricking or contracting 
sensation in the throat. *Great restlessness and nervous 
excitability. 

AMM. MUR. Swelling and inflammation of both tonsils. 
The patient can neither swallow, talk, nor open his mouth. 
After taking cold, [Merc] *Tendency to gangrenous ulcera- 
tion. Hawking up tough phlegm. 

APIS MEL. Red and highly inflamed tonsils, with dryness 
in mouth and throat. *Burning, stinging pain in throat 
when swallowing, [Aeon.] Can bear nothing to touch his 
neck, [Lach.] Throat swollen outside. Aggravation from 
heat, better from cold. 

BARYTA C. Raw, scraping or shooting pain when swal- 
lowing. Sensation of a plug in throat. *The tonsils 
incline to suppurate, [Hepar.] *Chronic induration of ton- 
sils, [Lye] Scrofulous diathesis, [Hep. Sil. Sul.] 

BELLADONNA. Tonsils swollen, inflamed, and of a dark 
red color ; ulcers soon forming, [Merc] Burning and shoot- 
ing pains in throat when swallowing. *The throat feels as 
if a plug were in it. *Drinking produces spasms in throat, 
fluids return through nose, [Lach. Merc] Constant inciina- 



TONSILLITIS. — QUINSY. 265 

tion to swallow or hawk up something. Especially right 
side, [lefty Lach.] 

HEPAR STJLPH. Where there is a frequent recurrence 
of the disease. Sticking pain as from a fish-bone in throat 
when swallowing. Sensation of a lump in throat, [Bell. Merc. 
Nux.] inclination to suppurate. Persons of a scrofulous 
habit. After abuse of mercury. 

LACHESIS. Tonsillitis, especially on left side. When 
swallowing, pain extends to ear. Fluids escape through nose 
when being swallowed, [Apis.] Sensation of a plug in throat, 
[see Hepar.] *Cannot bear anything to touch the neck, not 
even bedclothes. * Worse in afternoon, and after sleep. 

MERCURIC. Tonsils swollen, inflamed, and dark red, or 
become ulcerated. Offensive odor from mouth. Aphthse, 
or thick yellow coating on tongue. Violent pricking pains 
when swallowing, extending to ears or glands of throat. 
Gums and back part of tongue swollen. *Profuse discharge 
of saliva. *Much perspiration, which does not relieve. 
Wor.se at night. 

MERC. IOD. RTTB. Slimy or metallic taste. Tongue 
furred, wrinkled, feels scalded. *Left tonsil swollen, 
fauces red, and submaxillary glands painfully enlarged. 
Hawks and spits a tough white phlegm. *Difficult degluti- 
tion, with ulcers in the throat. Will often prevent suppura- 
tion. 

NUX VOMICA. If derangement of stomach be predis- 
posing cause. Sensation as if a lump were in throat when 
swallowing. The throat feels raw, or as if scraped, [Hepar.] 
* Patient very irritable, and wishes to be alone. Dyspeptics 
and persons who have been drugged with mixtures. Symp- 
toms worse in morning. 

SILICEA. When the appearance of throat indicates the 
formation of an abscess, attended with stitches and throbbing 
pain, [*Hepar.] *Throat feels filled up. Mostly on left 
side. Scrofulous persons. 

SULPHUR. Where there is a frequent recurrence of the 
disease. * After suppuration parts remain sore, and heal 
slowly, [*Hepar.] Scrofulous persons troubled with boils ; 
every little scratch of skin suppurates. *Lean persons who 
walk stooping. *Frequent weak, faint spells. Chronic en- 
largement of tonsils require: *Baryta o. Cal. c. *Calc. iod. 
*Cal. phos. Hepar. Ign. Lye. *Merc. Iod. Sulph. 

AUXILIARY MEASURES. Inhaling the vapor of hot 
water in which the indicated remedy has been dissolved will 
greatly relieve the suffering. Holding hot milk or hot gruel 
in the mouth will also be found valuable. When suppura- 
tion becomes inevitable (indicated by throbbing pain, swell- 
ing and tenderness externally), warm flaxseed meal poultices 
will relieve the pain and hasten suppuration. Gargling the 
throat, with hot milk or hot water after the abscess has burst, 
will be beneficial. In follicular tonsillitis, or where the dis- 
12 



2G6 THERAPEUTIC KEY. 

charge is offensive, gargling throat with a solution of Per- 
manganate of potash (4 grs. to the pint) will be found very 
useful. 

DIETETICS. Hot milk, beef tea, mutton broth, and oat- 
meal porridge, blanc-mange, or any nourishing food that can 
be swallowed. 



TOOTHACHE. 

THERAPEUTICS. Leading indications. 

ACONITE. The patient is almost frantic with pain, which 
is indescribable. Stitching or throbbing pain, with con- 
gestion to head, and great restlessness. *Constant fear and 
anxiety of mind, with great nervousness. 

ANTIMONITJM. Pains in carious teeth, followed by jerk- 
ing and gnawing, extending up to head, especially in evening, 
iii bed. Pains worse after eating, or from cold water, [Bry. 
Cham. Nux v. Merc] The gums bleed readily, and recede 
from the teeth. 

ARSENICUM. Elongation and painful looseness of teeth. 
Drawing, jerking pains in teeth and gums, extending to 
ears, cheeks and temples. Pains intolerable, driving patient 
to despair, [Aeon. Cham.] Prostration, restlessness, drinking 
often, and but little. 

BELLADONNA. Drawing, tearing pains in teeth, face 
and ears, with swelling of cheek. Ptyalism or dryness of 
throat and mouth, with great thirst. *Pains which come 
on suddenly, and leave just as suddenly. Face flushed, and 
eyes red. Pains worse after lying down at night, or in 
cold air. 

BRYONIA. Pains in carious, and still more in sound 
teeth. Sensation of elongation in teeth, with jerking drawing 
pains. Worse at night, or from taking anything warm in 
mouth, [Cham. Nux v. Puis.] Mouth unusually dry, with 
thirst. *Constipation, stools dry and hard, as if burnt. 
Exceedingly irritable. Wants to be perfectly still. 

CALC. CARB. Beating, stitching, boring pains, or sore- 
ness of teeth. *The pains are aggravated by a draught of 
air, by drinking anything warm or cold, or by the slightest 
change, [Nux m. Puis.] 

CHAMOMILLA. After taking cold when in a perspiration. 
The pains are drawing, jerking, or beating and stitching. 
Intolerable pains, especially at night, driving one to despair, 
[see Aeon.] Hot swelling of cheeks, and red, swollen gums. 
Worse in open air and at night, [Bell. Merc. Phos. Rhus.] 
*Very impatient, can scarcely give a civil answer. 

COFFEA. Insupportable pains, which drive patient 
almost frantic, [Aeon. Cham.] *The pain is relieved by 
ice-cold water, [Bry. Cham.] *Head feels contracted or 
too small. * Excessive wakefulness. 



TOOTHACHE. 267 

DULCAMARA. Toothache from taking cold in damp or 
wet weather, and if accompanied by diarrhoea. Confusion 
of head, and profuse salivation. The teeth feel blunt, 
[Aeon. Chin. *Nux m. *Puls.] *Symptoms always worse by 
a cold change in the weather. 

MERCTJRITJS. Tearing pains in several teeth at the same 
time, [Cham. Rhus.] Drawing and stinging pains, which 
extena to ear, especially in carious teeth, worse at night. 
*The pains are excited by cool, damp air, or by eating any- 
thing hot or cold, [*Bry. Nux. Puis.] *The teeth feel sore, 
loose and too long. * Perspiration does not relieve. Much 
saliva in mouth. 

MEZEREUM. Mostly in carious teeth, [Merc] *Pains 
boring, stinging, extending to malar bones and temples. 
Teeth feel dull and elongated, [Bry. Cham. Rhus.] Worse 
by contact, motion, or in the evening, with chilliness. 

NTJX MOS. Suitable to children, and women during 
pregnancy, [Cham. * Sep. Puis.] After taking cold in damp, 
wet weather, [Rhus.] Better from warm water or warm 
applications, [Rhus. Staph.] *Great dryness of the mouth, 
and disposition to faint. 

NTJX VOMICA. Sore pains or jerking, drawing, with 
stitches in teeth and jaw. Pains extending to head, ears, 
and malar bones, with painful swelling of submaxillary 
glands, [Merc.] Worse at night, or in morning, from mental 
labor, cold or cold things; better from warm drinks. *IIe 
feels cross and irritable. * Persons of sedentary habits, and 
who live on stimulating food. 

PULSATILLA. Suited to persons of a mild, tearful dispo- 
sition. *Toothache, with otalgia and hemicrania. Pains 
tearing, drawing, stitching, or jerking, as it" the nerves were 
put upon the stretch, and then suddenly let go again. * Bet- 
ter from cold things, and worse from warm, [Bry. Cham. 
Coff.] *Chilliness even in a warm room. Scanty or sup- 
pressed menses, 

SEPIA. Toothache during pregnancy, [of nursing females, 
Chin.] The pains are beating, stitching, and extend to ears, 
and along arm to fingers, where they terminate in a creeping 
sensation. Swelling of cheeks and submaxillary glands, [Merc. 
Nux.] *Sallow complexion, with spots on face. Profute leu- 
torrhcea having a fetid smell. 

SPIGELIA. *Throbbing pains in decayed teeth; dark 
redness of the affected side. Flow of water from the eyes 
and nose, [Merc. Puis.] Pains worse from cold water or 
going into open air. * Palpitation of heart, chilliness, rest- 
lessness. 

STAPHISAGRIA. * Black, crumbling, cariousteeth, [Kreo.] 
Vale, white, ulcerated, swollen, and painful gums. *Cfiiawing, 
tearing in decayed teeth; shooting into ear; throbbing in 
temples. Worse early iu morning, and after drinking any- 
thing cold, ^old sweat in face, and cold hands. 



268 THERAPEUTIC KEY. 

SULPHUR. Jumping pain in hollow teeth, extending to 
upper jaw, or to ears. Looseness, elongation, or dullness of 
teeth, [see Mez.] Aggravation or renewal of pains in open 
air, at night in bed, or from cold water, ^Burning heat in 
top of head, and cold extremities. *Scanty, black menstrual 
discharges. 

AUXILIARY MEASURES. Where the pain is caused by 
exposure of the nerve, saturate a pledget of lint in a mixture 
of equal parts Carbolic ac. and Iodine; introduce this into the 
tooth, then close the cavity with a little beeswax, and allow 
it to remain a few hours. A little Chloroform applied in the 
same way will also have a happy effect. Warm fomentations 
or hot salt bags applied to the painful jaw will often relieve. 



TYPHOID FEVER. 

{Enteric Fever ; Abdominal Typhus.) 

PROGNOSIS. Coma; convulsions; marked picking of 
bedclothes; subsultus tendinum; persistent delirium ; pulse 
frequent and feeble, first sound of heart notably weak; 
great prostration ; intestinal hemorrhage, are omens of 
great danger. In case of pregnancy, abortion generally takes 
place, and death follows. Temperature 105°, grave; 106° 
or 107°, mostly fatal. On the other hand, a decrease of tem- 
perature much below normal, is extremely ominous. 

Prognosis favorable so long as pulse not above 110 or 115, 
and resistive ; temperature not over 104°; no serious com- 
plications; abdominal symptoms mild; carphologia, sub- 
sultus, etc., not marked. 

THERAPEUTICS. Special indications. 

ACONITE. Chill and synochal fever, with full, bounding 
pulse, great heat, dr}% burning skin, and violent thirst. 
* Great fear and anxiety of mind, with much nervous excita- 
bility. *Hoadache as if everything would press out of the 
forehead, with vertigo on rising up. Mostly in the first 
stage. 

BAPTISIA. Incipient stage, [see Gel. Merc] Face dark 
red, with a besotted expression. Dull, stupefying headache, 
with confusion of ideas. *Head feels as if scattered around, 
patient tosses about to get pieces together. Tongue coated 
brown, dry, particularly in centre, [clean, parched, dry, Hyos. 
Rhus.] Sordes on teeth ; very offensive breath. Offensive 
and exhausting diarrhoea. *Sweat, urine and stools all 
extremely fetid. 

BRYONIA. Face red, burning and swollen. *Lips dry, 
brownish and cracked. Tongue coated with a thick, white 
or yellowish fur ; later brown and dry, [dry, red and cracked, 
Rhus.] Oppressive, stupefying headache, or pain as if head 
would split, worse from least motion. *Delirium day and 



TYPHOID FEVER. 269 

night, with strange fancies, and desire to escape and go 
home, [Bell.] Constant desire to sleep, with sudden starling 
and strange dreams, or sleeplessness, with restless tossing 
about. *Dryness of mouth without thirst, or with thirst, 
drinking large quantities at a time. *Cannot sit up from 
nausea and faintness. Great soreness in stomach. *Con- 
stipation, stools dry and hard. 

BELLADONNA. Face flushed and bloated, with red, 
sparkling eyes and dilated pupils. Throbbing headache, with 
violent pulsation of carotids, intolerance of noise or light, 
[Aeon.] Deiirium, with a wild look ; he wishes to strike, bite, or 
quarrel. Starting, jumping during sleep, with desire to 
escape. *Sleepiness, but cannot sleep, [*Lach. Opi.] 
Tongue dry, red and cracked, or red on edges and white in 
centre. Tenderness of abdomen, the least jar of bed painful. 

RHUS TOX. Prostrate and stupid. Face red and swollen, 
with blue circles around eyes. Lips dry, brownish, or black. 
*Tongue dry, red and smooth, or red at tip in shape of triangle. 
Muttering delirium, or talking to himself. Stoppnrre of the 
ears and dullness of hearing. Dry, troublesome cough, with 
oppression of chest. *Severe pains in limbs, worse during 
rest. Diarrhoea, with profuse, watery, sanguineous, or jelly- 
like evacuations. *Involuntary stools, with great exhaustion, 
[see Hyos.] *Worse at night, particularly after midnight. 

ARSENICUM. Face pale, shrunken, hippocratic. Cold sweat- 
on forehead, [Verat. a.] Constant licking of lips, which 
are dark, dry and cracked. Sordes on teeth, [Bapt. Hyos. 
Stram.] Tongue dry, shriveled, bluish or black, with in- 
ability to protrude it. 'Intense thirst, drinking little and 
often, [Apis. Chin.] Coma or low muttering delirium, and 
trembling of limbs. 'Extreme prostration. *Great an- 
guish, extreme restlessness and fear of death. Ileo-typhus, 
[Carb. v. Phos. ac. Rhus.] 

APIS MEL. The patient remains in a stupid, unconscious 
state, Vith muttering delirium. Inability to talk or put out 
tongue, which is cracked, ulcerated, or covered with vesicles, 
[Nux. Puis.] Dryness of mouth and throat, with difficulty 
of swallowing. *Great soreness in pit of stomach and abdo- 
men. Constipation, or frequent, foul, bloody mucus and 
involuntary stools. White miliary eruptions on chest and 
abdomen. 'Great weakness and sliding down in bed. [*Mur. 
ac. Zinc] 

ARNICA. Ptupid, apathetic condition, with greatest in- 
difference, [Phos. ac] Tongue dry, with a brown streak in 
middle, [red streak, Verat. v. — red edges, white centre, Bell. 
Gel.] Confusion of thought, when speaking forgets the word, 
[falls asleep in midst of a sentence, *Bapt.] *Sore, bruised 
feeling all through patient, which compels him to constantly 
change position. *lf conscious, he complains of bed being 
too hard, [Bapt.] Involuntary discharges of fieees and 
urine. 



270 THERAPEUTIC KEY. 

LYC0P0DITJM. Earthy, yellow complexion. Tongue drr, 
black, cracked, or covered with tough mucus. Sopor, deli- 
rium, slow breathing, with open mouth, [Opi.] Prostration, 
and depression of lower jaw. *Circumscribed redness of 
cheeks. He uses wrong words when expressing an idea. 
Fan-like motion of alas nasi. *Bowels much distended, with 
rumbling, particularly in left hypochondria. *Constant 
sensation of fullness in stomach, extending up to throat. 
*Great fear of being left alone. *Red, sand-like sediment 
in urine. Indisposed to lie on left side. He awakes from 
sleep very cross and irritable. Worse from 4 to £ P. M. 

MEB.CURITJS. In early stage. The patient does not com- 
plain of anything in particular, yet feels so weak and ill all 
over is obliged to go to bed. Tongue dirty-yellow, or clean, 
with bitter, foul taste. Gums swollen and ulcerated, with 
offensive breath. Headache, especially in forehead and on 
the vertex. *Region of stomach and liver very sensitive 
and painful, [Bell. Bry.] Dry, hot skin, or copious perspira- 
tion. *Green-yellow stools, with tenesmus. Dark urine. 
*Symptoms all worse at night and in rainy weather. 

PHOS. ACID. ^Complete indifference. Does not wish to 
talk, and answers very slowly, [wants to talk, Stram.] 
Tongue dry and cracked, teeth covered with sordes, [see 
Ars.] Fixed look, with hollow, glassy eyes. Continual deli- 
rium or dull mutterings. Subsultus tendinum. *Great 
rumbling in bowels, and painless watery dkirrhcea, [Hyos. 
*Mur. ac. Opi. Stram.] Cold perspiration on face, hands, 
and pit of stomach. Pulse frequent, feeble, and intermittent. 

CALC. GARB. Persons of a scrofulous habit. Palpitation 
of heart, with tremulous pulse, anxiety and restlessness. 
[Ars] Despairing mood, with fear of death, tormenting all 
around him. *As often as he falls asleep, the same dis- 
agreeable feelings rouse him. Constant tickling under 
sternum, causing a dry, hacking cough, [Rhus.] Persistent 
diarrhoea, [Ars. Sulph.] After great anxiety and worfiment 
of mind. 

CARBO. VEG. Mostly in last stages of abdominal and 
putrid typhus. Face pale, sunken, hippocratic, cold, [Ars. 
Colch.] Eyes sunken, dull, without lustre, and insensible 
to light. Tongue dry, dark and tremulous, or sometimes 
moist and sticky. *Complete torpor of the vital functions. 
Colliquative diarrhoea, brownish, grayish or bloody, of a 
cadaverous smell and involuntary, [Ars.] *Great prostra- 
tion, wants more air and to be fanned all the time. Extremi- 
ties cold and covered with cold perspiration. 

OPIUM. Face swollen and of a purplish color. ^Extreme 
drowsiness and coma, with stertorous breathing. Delirious 
talking, with eyes wide open, [with eyes closed, Hyos.] 
Pulse full and labored, or slow and feeble. Impending par- 
alysis of brain. Involuntary stools and retention of urine, 
[Bell. Hyos.] 



TYPHOID FEVER. 271 

PHOSPHORUS. Typhoid pneumonia. *Soporous condi- 
tion, dry, black lips and tongue, open mouth. Great 
depression of mental faculties, mild delirium and grasping 
at flocks. Thirst for very cold drinks. *Vomiting what has 
been drunk soon as it becomes warm in stomach. Painless 
diarrhoea, discharges watery, greenish, or black, decomposed 
blood, [Chin] *Great sense of weakness and emptiness in 
abdomen. 

COCCTJLTJS. Loss of nervous strength, feeling weak and 
badly all over, but no place in particular, [see Merc] Slow 
to comprehend; he cannot find right word to express him- 
self, [forgets the word, Am.] He talks in a muttering tone, 
requiring much effort to speak plainly. * Vertigo, especially 
when rising up in bed, with nausea, compelling him to lie 
down again. *Head and face hot, while extremities are cold. 

COLCHICUM. Face sunken and hippocratic. Lips, teeth 
and tongue covered with a thick brown coating. Intellect 
beclouded, though he gives correct answers to questions. 
Region of stomach extremely sensitive to pressure. Diar- 
rhoea ; stools whitish, watery, offensive, involuntary, [Calc. 
c] *Cold surface, tongue and breath; mottled skin and 
bluish nails. 

GELSEMITJM. In early stage. * Typhoid fever, when so- 
called nervous symptoms predominate. Great fullness in 
head, with heat of face and chilliness. Head feels too big, 
[Cimi. *Nurt] Tongue yellowish white or thick brown. 
*Nervous chills, with chattering of teeth, and fever without 
thirst, [see Puis.] 

HAMAMELIS. *Typhoid fever, with bloody crisis. 
*Profuse hemorrhage from bowels, blood black, partly 
coagulated and offensive, with a bruised, sore feeling in abdo- 
men and hips, [see Nit. ac] Epistaxis, flow passive. 

HYOSCYAMUS. Brown-red, swollen face. Tongue, red, 
brown, dry and cracked. Lips look like scorched leather. 
Furious delirium, which continues while awake, *Loss of speech 
and consciousness, [Bell. Stram.] *Muttering, with pick- 
ing at bedclothes, [Mur. ac. Opi.] Great restlessness, 
jumping out of bed, and endeavoring to escape, [Bell. Bry.] 
Eyes red and sparkling, staring, rolling about in their 
orbits. *Twitchingand jerking of limbs; subsultus tendinum. 
* Paralysis of sphincter ani and vesica. 

LACHESIS. Dry, red or black tongue, cracked at tip, 
and bleeding ; it trembles when being protruded. Lips dry, 
cracked and bleeding. Stupor, and muttering delirium. De- 
pression of lower jaw, [Lye. Mur. ac. Opi. Stram.] *Cannot 
bear anything to touch the throat, it is so sensitive. *^ymp- 
toms all worse after sleeping, [Apis. Opi.] Thinks he is 
dead, and that preparations are being made for the funeral. 

STRAMONIUM. Loss of consciousness, with involuntary 
motions of limbs. Earnest and ceaseless talking, [not dis- 
posed to talk, Bell. Nit. ac. Phos. ac] Constant and re- 



272 THERAPEUTIC KEY. 

■pelted Jerking of head up from pillow. ^Loquacious delirium, 
with a desire to escape from bed. Tongue yellowish-brown, 
and dry on centre, [see Bapt.] Lips sore and cracked, and 
sordes on teeth. *No desire for water, although mouth is 
very dry. * Blackish diarrhoea, smelling like carrion, [Ars. 
Carb. v. Chin.] Loss of sight, hearing, and speech. Copious 
involuntary discharge of urine. 

PULSATILLA. In early stage, and where there is much 
gastric disturbance. Febrile heat, mingled with chilliness. 
*Thickly-coated tongue, with bad taste in morning, [bitter 
taste, Bry. Merc. Nnx.] Taste as of putrid meat in mouthy with 
inclination to vomit. Symptoms very changeable, feeling well 
one hour, and very miserable next. *Oaves fresh, cool air, 
is worse in a warm room. Mild, tearful persons. Symptoms 
all worse towards evening. 

MURIATIC ACID. Advanced typhus; patient, stupid, un- 
conscious, and extremely prostrate. ""Constant sliding down 
in bed, [Apis. Zinc] *Low, muttering delirium, groaning 
in sleep, and picking at bedclothes. Inability to protrude 
tongue, which is very dry. Depression of lower jaw, boring 
head into pillow, turning up whites of eyes, slavering. In- 
voluntary stools and urine, [Ars. Hyos. Rhus.] Bleeding from 
anus. 

NITRIC AC. Mostly in advanced stages of disease. In- 
clination to looseness of bowels, with green, slimy, acrid 
stools, accompanied by severe pain. * Hemorrhage from bow- 
els, and great sensitiveness of abdomen. [Rapou gave Nit. ac. 
and also Phos. ac. as injections to arrest intestinal hemor- 
rhage; four drops in two or three ounces of water.] *Ex- 
tremcly offensive urine. Irregular pulse, failing strength. 

TARTAR EM. Typhoid pneumonia, with great rattling in 
chest, and dyspnoea. *Loose cough, without expectoration, 
[Ipe.j *There is apparent danger of suffocation. Acute 
oedema of the lungs. 

ZINCUM. Entire loss of consciousness; does not recog- 
nize his relations. Delirium, with staring eyes and efforts 
to get out of bed, [Mur. ac] Position on back, and sliding 
down in bed. Subsultus tendinum, grasping at flocks, and 
feeling around as if in search of something. ""Constant 
trembling of the hands, and coldness of the extremities. 
Small, intermittent pulse. *Impending paralysis of brain. 

CLINICAL OBSERVATIONS. Quarantine patient in an 
upper airy room. Provide for free ventilation. Look after 
sewer-pipes. Disinfect all discharges and soiled clothing 
immediately, [see article M Sick-Room."] Use hair mat- 
tress ; have two if possible, that patient may be frequently 
changed, Guard against bed-sores. Observe the strictest 
regard to cleanliness, and exclude all persons from room not 
absolutely needed. 

AUXILIARY MEASURES. If fever runs high, put patient 



ULCERS. 273 

in a bath or sponge him off in warm water, [90° to 100°, the 
higher the fever the hotter should be the water.] After the 
bath, wrap in a clean dry sheet, place him in bed and allow 
him to dry without being rubbed; repeat two or three times a 
day. If the head is hot and painful, or patient delirious, 
envelop the whole head in cloths wrung out of hot water, and 
change them often. Where there is great pain and tenderness 
of the abdomen, hot fomentations or thin poultices should be 
applied to the parts and frequently changed. 

In obstinate constipation, enemas of tvarm water will afford 
the best means of relief, and where diarrhoea occurs, 1 ive- 
ments of starch water [about two ounces] administered after 
every stool will have a salutary effect. 

DIETETICS. Diet of the greatest importance. It should 
consist mainly of fresh siceet milk, given in moderation and at 
regular intervals. Good fresh buttermilk is also excellent, 
and may be taken ad libitum. Thin gruel made of farina, 
corn-starch, or oatmeal may be allowed for a change. Beef- 
tea, mutton- or chicken-broth should be given later for the pros- 
tration, and to build up the vitality of patient. No solid 
food should be taken so long as any tenderness of abdomen 
or looseness of bowels are present. 

Water may be drank at pleasure, and the mouth washed 
frequently to prevent the accumulation of sordcs. Sweet 
cider, fresh from the press, is an excellent beverage in fevers, 
and may be taken in moderate quantities. 



ULCERS. 

THERAPEUTICS. Special indications. 

ARSENICUM. Irritable ulcer in exhausted, impoverished 
constitutions, [see Lach.] * Ulcers with high edges, pains 
burning or tearing, discharge greenish, thin, acrid or bloody. 
The surface round sore bluish, inflamed and cedematous. 

ASAFCETIDA. Nervous individuals. * Ulcers with high 
hard edges, sensitive to touch, easily bleeding, [Ars.] Pus 
profuse, greenish, thin, offensive, even ichorous, [Ars.] 

CARBO VEG. Sensation of tension around the sore. 
*Ulcers varicose, scorbutic, livid, easily bleeding, fetid. 
Ulcers on leg, burn, especially at night, [Ars.] Bottom of 
sore 1ms a bluish tinge. 

HEPAR SULPH. *The ulcer discharges bloody pus, 
smelling like old cheese. The edges are very sensitive, and 
have a pulsating sensation; discharge corroding. * Unhealthy 
skin, every little injury inclines to suppurate. 

LACHESIS. Gangrenous ulcers on legs and toes. Pha- 
gedenic and sloughing ulcers. Large ulcers tending to 
spread rapidly. Specially adapted to old persons. 

MERCXJRIUS. Ulcers superficial, flat, readily bleeding, 
tendency to spread. Worse from heat of bed or from hot or 
1*2* 



274 THERAPEUTIC KEY. 

cold applications. Sensation as if the parts were corroded 
by insects. * Dripping night-sweats. 

NITRIC ACID. Ulcers with irregular edges and luxuriant 
granulations. Stinging or pricking pains, intolerable. Foul- 
smelling foot-sweats, [Sili.] After the use of mercury, or in 
secondary syphilis. 

SULPHUR. Ulcers with raised swollen edges, surrounded 
by pimples. Stinging, lacerating pains. *Proud flesh in the 
ulcers, readily bleeding. 

\ AUXILIARY MEASURES. Remove the cause of irrita- 
tion. Observe perfect cleanliness. Keep limb in horizontal 
position. 

Healthy ulcers should be dressed with compresses wet in 
solution of Calendula, [ 3ji. to ^vi. warm water] keep sore 
<dean and renew dressings often. 

Indolent or unhealthy ulcer may often be cured by atten- 
tion to diet, cleanliness and internal medication. In other 
cases it may be necessary to freshen the sore with Carbolic 
ac. [10 drops to the ounce] by applying it on lint to the 
ulcer, then poultice, after which draw the parts together 
with adhesive plasters and apply a roller from the foot to the 
knee. 

Irritable ulcers mostly require poulticing, followed by hot 
water dressings, frequently changed, and the limb kept at 
rest. 

DIETETICS. Hygienic precautions. Nutritious, easily 
digested food, such as rare beef, mutton-chop, soft eggs, fresh 
vegetables, ripe fruits, milk, Graham bread, rice, etc. All 
alcoholic beverages must be strictly avoided. 



URINAEY DIFFICULTIES. 

THERAPEUTICS. Leading indications. 

ACONITE. Fever, anxiety, restlessness and fear of the future. 
*Scanty, red, hot urine, without sediment. Retention of 
urine, with stitches in kidneys. Consequent upon taking cold, 
or from exposure to dry, cold winds. 

APIS MEL. Renal pains, soreness on pressure or when 
stooping. Frequent sudden attack of pain along ureters. 
* Frequent desire, with passage of only a few drops of dark- 
colored urine. *Eyelids oedematous. 

ARNICA. Urinary difficulties after mechanical injuries, 
[after getting wet, Rhus.] Tenesmus of the neck of bladder, 
with ineffectual efforts to urinate. Urine brown, v^th brick- 
red sediment. 

ASPARAGUS. Slight, febrile excitement. Rapid and ir- 
regular pulsations of the heart, especially on exercising. 
Pains in kidneys just under short ribs. Frequent and painful 
micturition. Urine scanty, brown and without sediment, 
[see Aeon.] After urinating, burning in urethra. 



URINARY DIFFICULTIES. 275 

BELLADONNA. *Back feels as if it would break, hinder- 
/ng motion. Sensation as of a. worm in bladder, [of a ball, 
Lach.] *Retention of urine, passing off drop by drop, 
[Canth. Nux.] Inability to retain the urine. Wets the bed, 
restless, starts in sleep. 

BENZOIC AC. Soreness, or hot, burning pain in left 
kidney. Frequent desire to urinate. * Urine contains mucus 
and pus, (with enlargement of prostate gland.) Urine dark- 
colored, has an exceedingly strong smell, [like that of horses, 
Nit. ac] Rlitumatic, gouty subjects. 

BERBERIS. Violent sticking pains in bladder, extending 
from kidneys into urethra, with urging to urinate. Stitches 
in urethra, extending to bladder. *Muco-purulent discharge 
from bladder, with enlarged prostate, [Benz. ac] Blood-red 
urine, which soon becomes turbid and deposits a thick mucus 
or bright-red, bran-like sediment. 

CALC. CARB. Frequent micturition, also at night. *Urine 
dark, brown, with white sediment, [Brom.] The urine lias 
a putrid smell, [see Nit. ac] During micturition, burning 
in urethra. *Cold, damp feet continually. 

CANNABIS IND. Aching in kidneys, keeping him awake 
at night. Burning in kidneys, [Canth.] The urine passes 
freely at times, then again in small quantities. * Urine 
dribbles out after the stream cases. 

CANTHARIDES. Cutting and burning pains in both kid- 
neys, the parts being snsitive to touch. *The urine scalds, 
and is passed drop i y drop, with extreme pain. *Constant 
desire to urinate, passing a few drops at a time, sometimes 
mixed with blood. Vomiting, with violent retching. 

CHAMOMILLA. Dragging down the ureters, like labor- 
pains, with frequent urging to urinate. Burning in neck of 
bladder during micturition. Urine yellow, wihjlaky sediment. 
*The urine becomes turbid, clay-colored soon after passing. 
Patient very irritable and snappish. 

CONIUM. Suited to old people troubled with frequent 
urination at night. Urine thick, white and turbid, willi 
gray or white sediment. *During micturition flow inter- 
mits. *Vertigo, especially when lying down or turning 
over in bed. 

DIGITALIS. Inflammation of the neck of bladder, [Aeon. 
Cann. in. *Canth.] Throbbing pain at neck of bladder when 
straining to pass water. Urine dark-brown, hot and burning. 
Can retain urine best, in recumbent posture. 

DULCAMARA. Catarrh of the bladder, [Aeon. Merc. Puis.] 
Urine scanty, fetid, turbid; on standing g<Js oily, containing a 
tough, jelly-like, tvhite or red mucus mixed with blood. *Gets 
worse from every cold change in weather. 

EQUISETUM. * Difficulty in passing urine during preg- 
nancy and after confinement. Urging and severe pain im- 
mediately after the urine is voided. * Incontinence of uriue 
at night, [Bell. Nit. ac. *Puls. *Sep.] 



276 THERAPEUTIC KEY. 

GELSEMITJM. Incontinence of urine from paralysis of 
sphincter, [Hyos.] Alternate dysuria and enuresis. Spasnis 
of bladder. Suitable to nervous children. 

HELIONITJS. Mind dull and inactive. Constant aching 
and extreme tenderness of kidneys, especially the right. 
Burning in kidneys, [Cann. in. Canth.] * Weariness, languor, 
weight in renal region. Burning scalding when urinating. 
Urine clear, profuse, light-colored. 

HYDRASTIS. Dull aching in region of kidneys. *Ca- 
tarrh of bladder, with thick ropy mucus sediment in urine. 
The urine has a decomposed smell. 

LACKESIS. Stitches from kidneys through the ureters. 
Copious emissions of foaming urine, [Lye. Seneg. Spong.] 
Urine dark, almost black. ^Sensation of a ball in bladder 
when turning over, [see Bell.] Catarrh of bladder. 

LYCOPOBITJM. Severe backache, relieved by passing 
urine. Urging to urinate, must wait long before it will pass. 
Urine turbid, milky, with an offensive, purulent sediment. 
*Red sandy sediment in urine, [Phos. Sep. Sili.] Urine 
copious at night, scanty through the dag. *Child cries before 
passing urine. 

MERCURITJS. Region of bin dder sore to touch. *Urine 
passes in a thin stream or in drops, containing blood and 
pus. *Scanty, fiery-red urine. Turbid and fetid urine. 

NATRTJM MUR. * Involuntary discharge of urine when 
walking, coughing or laughing, [Puis. Verat ] During 
urination, stitches in bladder, smarting, burning in urethra. 
Urine dark, like coffee, [see Tereb.] 

NITRIC AC. While urinating, smarting, burning in 
urethra. Urine turbid, looks like remains in a cider barrel. 
*Scanty, dark brown, smelling strong, like horse's urine, 
[Chin. B. — smells like cat's urine. — Viola. — like violets, Nux 
m. Tereb. — like ammonia, Asaph. Iod.] Enuresis. 

NUX VOMICA. Painful ineffectual urging to urinate. 
*Urine passes in drops, with burning, tearing in neck of 
bladder, [see Canth.] Reddish urine with brick-dust sedi- 
ment. When caused by abuse of spirits, [Lach. Merc. Puis] 

PAREIRA BRAVA. Great difficulty and pain in passing 
the urine; he cries out, and can only emit urine when on 
his knees, pressing his head against floor. Urine smells 
strongly of ammonia, and contains a quantity of viscid, 
thick, white mucus. Pain in thighs. 

PHOS. ACID. * Frequent micturition. Urine milky, with 
bloody, jelly-like lumps, or as if stirred with flour. *Great 
indifference to the affairs of life. 

PHYTOLACCA. * Weakness, dull pain and soreness in 
region of kidneys. Uneasiness down the ureters. Pain in 
bladder before and during micturition. *Dark red urine, 
which leaves a stain on vessel color of mahogany, [see Sep.] 
Urine deposits a chalk-like sediment. 

PULSATILLA. Nocturnal enuresis, particularly of little 



URTICARIA. — NETTLE-RASH. 277 

girls. Cannot retain urine, it is involuntary when coughing, 
walking or during sleep. *Colorless watery urine Scant?/ 
brown-red urine, with brick-dust-like sediment, [Dig. Lye. Nux. 
Pbos. Sep.] 

SARSAPARILLA. Tenderness and distension over region 
of bladder. Tenesmus of bladder, with discharge of white 
acrid pus and mucus. Urine bright and clear, but irritating. 
* Severe pain at conclusion of urination. Child screams before 
and while passing urine, [see Lye] Pale sand in the urine. 

SEPIA. Involuntary urination at night, especially in first 
sleep. Urine turbid, with sediment of red sand, [see Lye] 
Blood-red urine, with white sediment and a cuticle on sur- 
face. *Fetid urine depositing a clay-colored sediment, 
which adheres to vessel with great tenacity, [see Phyto.] 

TEREBINTH. Burning and drawing from right kidney to 
hip. Frequent urination at night, with intense burning. 
*Urine black, with coffee-grounds sediment, [Hell.] Blood 
thoroughly mixed with the urine. Urine smells like violets, 
[Nux m.] Great emaciation and weakness. 

AUXILIARY MEASURES. In some cases warm sitz baths, 
or hot fomentations to the region of bladder has a happy 
effect. Hot salt pads or rubber bags partially filled with hot 
water and applied to the region of the kidneys very bene- 
ficial. Adopt measures to keep skin active and promote 
perspiration. Frequent bathing and open-air exercise im- 
portant. 

DIETETICS. Regulate diet carefully. Eat sparingly of 
meat. Adopt a mixed vegetable diet, with fresh ripe fruits. 
Avoid all highly-seasoned food, and all alcoholic stimulants of 
every kind. Let fresh soft water be the principal drink. 



URTICARIA.-NETTLE-RASH. 

THERAPEUTICS. Special indications. 

APIS MEL. Stinging, burning, prickling, smarting, or 
itching of the skin. *Body covered with large white wheals, 
deep scarlet interspaces. Uterine catarrh. 

CALCARIA CARB. *Nettle-rash which always disappears 
in cold air, [see Caust.] White nettle-rash of children which 
itches intolerably. Unhealthy, ulcerative skin. *Cold, damp 
feet. Scrofulous diathesis. 

CATJSTICUM. Chronic neltle-rash, coming out more fully 
in fresh air, with decided aggravation and itching from heat 
of bed. 

CHLORAL. Nettle-rash in large raised wheals, with in- 
tense irritating, itching ©edematous swelling of face, cheeks, 
eyelids and ears. Coming on from a chill. 

COPAIVA. Violent chills, headache and general malaise. 
Red, hot skin, nettle-rash all over body, delirium, drowsi- 
ness, scanty urine, which is dark, with brick-dust sediment. 



278 THERAPEUTIC KEY. 

RHUS TOX. *Nettle-rash from getting wet, during rheu- 
matism, with chills and fever, worse in cold air, [better, Cal. 
c] Itching all over, worse on hairy parts, burning after 
scratching, 

URTICA URENS. A valuable remedy. Itching and burn- 
ing of skin as if scorched. *Raised red blotches, with fine 
stinging points. Pale rash requiring constant rubbing. 

LOCAL MEASURES. To allay the intense itching and 
burning, apply hot water to the affected parts, sopping it on 
freely, or give patient a warm bath, and dry without rubbing. 

As the disease usually arises from some derangement of 
the digestive organs, measures should be taken to correct 
this by suitable diet, and the observance of regular habits. 



VERTIGO.-DIZZDIESS. 

THERAPEUTICS. Leading indications. 

ACONITE. * Vertigo from heat of sun, [Bell. Glon.] Ver- 
tigo from a fall or contusion, [Am.] *Vertigo on raising 
the head, with nausea and vanishing of sight. 

AMM. CAKB. Giddiness, especially in morning, when sitting 
and reading, better when walking. 

APIS MEL. Vertigo when sitting, standing, lying, when 
closing the eyes, with nausea and headache. Brain feels 
tired, as if "gone to sleep. " 

ARGENT. NIT. *Vertigo with headache. *Head feels 
much too large [Cimi. Gel. Glon. *Nux.] Buzzing in ears. 

BELLADONNA. Vertigo, as if everything turned in a circle. 
*Vertigo, as if he would fall to one side or backwards, with 
flickering before the eyes, especially when stooping, or 
rising from a stooping posture, [see Puis.] 

BRYONIA. Giddiness, with sensation of looseness in 
brain when stooping, or raising the head. *Hard, dry 
stools. 

CALCARIA CARB. Vertigo when ascending a height, [see 
Ferr.] walking in open air, turning head quickly, or looking 
upwards. Head feels too full, [Aeon. Bell.] *Cold, damp 
feet continually. 

CICTJTA. Giddiness, with falling forwards, [Phos. ac. Graph. 
— falling backwards, Bry. Nux. Rhus. — falling sideways, Ipe. 
Sili. Sulph.] *Vertigo, reeling as if everything turned 
around him. 

CONITJM. *Vertigo, particularly when lying down and 
when turning over in bed, [Sang.] Vertigo on looking round, 
as if he would fall to one side. Suitable to old people. 

FERRTJM. Vertigo when descending a height, [see Calc. c] 
Vertigo on seeing flowing water, with sickness at stomach 
when walking. Sensation as if the head would constantly 
incline to one side. 

GELSEMIUM. ^Giddiness, with confusion of head, dim 



VERTIGO. — DIZZINESS. 279 

ness of vision, chilliness, and accelerated pulse. Intoxicated 
feeling, and tendency to stagger, [Amm. c. Bry. Kreo. Nux.] 
*Head feels light and large. 

GLONOIN. * Vertigo, with confusion of head, faintness, 
black spots before eyes. Worse from stooping or moving head, 
[better from stooping, Indigo. J Head feels too large, con- 
stant effort to keep it erect. 

GRAPHITES. Dizziness during and after stooping, with 
inclination to fall forward. *Vertigo on looking upwards, 
and in morning on awaking. Feels as if drunken when 
rising from bed in morning. 

INDIGO. ^Excessive giddiness, with headache, better 
from stooping or leaning forwards. Cannot look up, and stag- 
gers when rising from a sitting posture. 

LEDUM. Vertigo, as from intoxication, especially when 
walking in open air, [Calc. c. Nux v.] Feels dull after 
eating; head inclines to fall backwards. 

MERCURIUS. Dull and stupid feeling, with dizziness. 
*Vertigo, as if in a swing, everything turns black before the 
eyes. Vertigo after stooping, when lying on the back, with 
nausea and headache. 

NUX MOS. Vertigo, as if drunk, staggering ; reeling when 
walking in open air. Weak, limbs numb, feels as if floating 
in air. Head feels full, and as if expanding. ^Sleepiness and 
inclination to faint. Hysterical subjects. 

NUX VOMICA. Stupefaction, confusion, as from nightly 
reveling. * Reeling vertigo, in morning and after dinner, 
with vanishing of sight and loss of hearing. Worse when 
stooping, in morning and from use of wine. 

OPIUM. * Vertigo when rising from bed, compelling one 
to lie down. Vertigo after fright, [Aeon ] Dizziness, with 
sensation as if he were flying or hovering in the air, [see 
Nux m.] *Dull, stupid, as if drunk. 

PHOSPHORUS. * Vertigo from abuse of narcotics, coffee, 
[Cham. Nux.] Vertigo on rising from bed, or a seat, with faint- 
ness, worse mornings and after meals. ^Constipation, stools 
long, narrow, and hard, like a dog's. 

PULSATILLA. Vertigo, as if intoxicated, when rising from a 
seat', [Podo.] *Vertigo when stooping, lifting up the eyes, 
or after eating. Giddiness, particularly in evening. * Menses 
scanty or suppressed. Derangement of stomach. 

RHUS TOX. *Giddy, as if intoxicated, when rising from 
bed, [Aeon. Opi.] Vertigo in the aged, worse when rising 
from lying, and from turning or stooping, [see Con.] Chilli- 
ness and pressure behind eyes. *13rain feels loose when 
stepping or shaking head, [see Bry.] 

SANGUINARIA. Vertigo, with long-continuing nausea, debil- 
ity and headache. Dizziness when quickly turning head and 
looking upwards. *Vertigo on lying down at night, or on 
rising from stooping, [Con. Rhus.] Vertigo in cold weather. 
Circumscribed redness of the cheeks. 



280 THERAPEUTIC KEY. 

SILICEA. * Vertigo, as if one would fall forwards, [see 
Cicu.] Worse from motion or looking upwards. *Constipa 
tion, stools recede after being partially expelled. 

SPIG-ELIA. Vertigo when looking downwards, [Kalm 
Olean. — when looking upwards, Calc. c. Graph.. *Indigo. 
*Puls. Sang,] Vertigo in open air when turning head while 
walking, [comp. Sang.] 

THUYA. * Vertigo, with eyes shut, ceases on opening 
them. Vertigo when rising from sitting, on stooping, look- 
ing upwards or sideways, [Puis.] 

CLINICAL OBSERVATIONS. If the vertigo is associated 
with disease of the ears, that affection should first receive 
attention. If the stomach is at fault, correct the abnormal 
condition of that organ by appropriate remedial agents. If 
the dizziness is caused by uterine derangement, this should 
receive due consideration. 

Persons subject to vertigo should eat and drink moder- 
ately, take suitable out-door exercise, use the flesh-brush 
frequently, and adopt such measures as will promote the 
general health. 



VOMITING. 

THERAPEUTICS. Leading indications. 

ANTIMONITIM. Nausea and vomiting from overloading 
stomach, or after drinking sour wine, [Ipe. Nux. Puis.] 
* Terrible vomiting which nothing can stop, [Tart, e.] 
*Thick milky coating on tongue. 

ARSENICUM. *Vomiting immediately after eating or 
drinking, [Bry. Nux. Puis. * Verat.] Vomiting black bile and 
blood, [Ipe. Sec.*Verat.] Great restlessness, thirst and prostra- 
tion. ^Pressure in stomach as of a stone. 

BRYONIA. Vomiting immediately after eating or drink- 
ing, [Ars.] *Bitter bilious vomiting. Stitches in left side 
when vomiting. ^Constipation, stools hard and dry. 

CHAMOIIILLA. Vomiting food, tastes bitter or sour. 
*Bitter bilious vomiting. *Pain in belly just above the 
navel, running from side to side. Suitable to children. 

COCCTJLUS. *Nausea and vomiting from riding in a car- 
riage, on a boat, or from swinging, [Nux m. Pet.] Sea-sickness. 
Nausea and inclination to vomit on taking cold. 

CONITJM. * Violent vomiting of black masses, like coffee- 
grounds, in clear, sour water, [see Ars. Phos. Verat.] Fre- 
quent vomiting with heart-burn. *Spasniodic pains in 
stomach. Tremulous weakness after every stool. 

IPECAC. Nausea, as if proceeding from stomach. * Con- 
stant and continual nausea, [Lobe. *Tart. e. Verat.] ♦Vomit- 
ing large quantities of mucus, [Tart, e.] Vomiting food, bile, 
sour fluid or blood. Vomiting a dark, pitch-like substance, 



VOMITING. 281 

[Ars. Sec. Verat.] *Stomach feels relaxed, as if hanging 
down, [Staph.] Beating in stomach, [Puis. Rhus.] 

LOBELIA. *Xausea and copious vomiting, with profuse 
perspiration. Incessant violent nausea, [see Ipe.] Vomit- 
ing, with cold perspiration on face, [Verat.] Feeling of 
great weakness of stomach, extending through chest. 

NITRUM. *Nausea, with cold sensation from throat to 
stomach. Choking faintness, bruised headache and burning 
in eyes. Vomits mucus with blood. 

NTJX VOM. Nausea after eating. *Empty retching of 
drunkards. *Vomiting sour-smelling and sour-tasting 
mucus, [see Phos.] Region of stomach sensitive to pressure. 
Victims of intemperance or drug medication. 

OPIUM. *Vomiting faeces, or a fecal-smelling substance, 
[Aeon. Bell. Nux v. *Plumb. Thuy.] Hiccough, great thirst, 
cold limbs, distorted face, [ileus or incarcerated hernia.] 

PHOSPHORUS. Vomiting sour, offensive fluid in large 
quantities, looking like water, ink and coffee-grounds. 
* Vomiting bile, [see Aeon.] Very drowsy after meals, par- 
ticularly after dinner. *Constipation, long, narrow, hard 
stools. 

PHYTOLACCA. *Violent vomiting of clotted blood and 
slime, with retching, intense pain and desire for death to 
relieve. 

PULSATILLA. *Vomiting after taking cold, or from sup- 
pression of menses. Vomiting, caused by disordered stom- 
ach, [Ant. Ars. Ipe. Nux.] Vomiting mucus, bile, or bitter- 
sour fluids, e-pecially in evening or at night. 

TARTAR EM. Violent straining to vomit, with sweat on 
forehead, [Lob. * Verat.] *Continuous nausea, vomiting and 
diarrhoea, [Verat.] Vomiting green, tough, watery mucus, 
followed by great drowsiness and prostration, [Ars. Verat.] 

VERAT. ALB. Violent vomiting, with continuous nausea. 
*Vomiting food, acrid, bitter, foamy, white, or yellow-green 
mucus. Vomiting black bile and blood, [Ars. Ipe ] Vomiting 
whenever he moves or drinks. Great prostration. 

AUXILIARY MEASURES. If the vomiting is due to the 
presence of poison or irritating substances, evacuate the 
stomach at once. Give freely of tepid water containing 
powdered mustard, and tickle the fauces with a feather or 
something similar to excite vomiting. 

In vomiting caused by reflex action or gastric irritation, 
great benefit will be derived from taking frequent draughts of 
hot water. In some cases, swallowing bits of ice will give 
prompt relief. In excessive, obstinate vomiting, equal parts of 
L'Jxer and Spt. Lavender, given in teaspoonful doses, well 
diluted with cold water, is an efficient remedy. 

Sea-Sickness. This is often very intractable. Patient 
should assume horizontal position, with head lower than the 
body, and on frequent occasions take exercise by walking, 



282 THERAPEUTIC KEY. 

Drinking largely and repeatedly of tepid water is said to be 
beneficial. Partaking freely of nutritious food, even if the 
stomach rejects it, is highly commended. Cocculus is one of 
the principal remedies, and should be administered in re- 
peated doses. 



WORM AFFECTIONS. 

THERAPEUTICS, Leading indications. 

ACONITE. Febrile disturbance. The region around um- 
bilicus is hard, and the whole abdomen distended. Frequent 
ineffectual straining at stool, or nothing but slime is passed. 
Itching of anus, worse at night, with restlessness, [Mere] 
*Much fear and anxiety, child is even afraid to go to bed. 

BELLADONNA. Flushed face and red eyes. *Violent 
starting and jumping during sleep. Involuntary discharge 
of faeces and urine. Grating of teeth, moaning and uneasy 
sleep. Picking at bedclothes. 

CALC. CARB. Headache, dark rings around the eyes. 
Pale, bloated face and distension of abdomen. Tain around 
the navel, [Cina ] Itching of anus, particularly in the even- 
ing. Scrofulous persons. 

CHINA. If the patient has had much diarrhoea or taken 
aperient medicine. The child frequently passes worms, picks 
its nose much, and the belly is distended, [*Cina.] Painless 
diarrhoea of undigested stools. Pain in abdomen, worse at 
night, and after eating. 

CINA. *Constant boring at nose. Frequent swallowing, 
[Spig.] Restless sleep, with rolling of eyes. Dark circles 
around eyes. Short, hacking cough, particularly at night. 
Abdomen hard and distended, with frequent pain in umbili- 
cal region. *The urine turns milky after standing a short 
time. 

LYCOPODIXJM. Earthy, yellow complexion, with blue 
circles around eyes. Much flatulent distension in stomach 
and bowels. Sensation as of something crawling and mov- 
ing in abdomen. Ascarides, with much itching about anus, 
[Merc] *Red, sandy sediment in urine. Constipation of 
hard stools. 

MERCURITJS. Ascarides, with troublesome itching of the 
anus ; tne worms crawl out, and can be seen on the perineum, 
[Stan.] Continual greediness for eating, yet grows weaker 
withal. Offensive breath. 

SANTONINE. Many prefer this preparation to Cina. The 
symptoms indicating its use are the same as enumerated 
under Cina. A dose of the l x trit. given thrice daily for two 
or three days, will usually suffice. 

SPIGELIA. Sensation of a worm rising in throat, [of a 
worm in bladder, Bell.] Nausea every morning before 
breakfast, better after eating. Vomiting, with sour eructa- 



WORM AFFECTIONS. 283 

tions. Very pale face, and a yellow margin around the eyes, 
[see Cin. Lye] ^Violent palpitation of heart. 

STANNUM. Discbarge of mucus from bowels, mingled 
with ascarides, [*Lyc. Merc] Soreness and smarting at 
anus. *Frequent spells of pain in abdomen, during which 
child wishes to lean against something hard for relief. 

SULPHUR. Frequent passage of lumbricoides, ascarides 
and taenia. Creeping and biting in rectum. *Gets very 
hungry about 11 a. m. *Frequent weak, faint spells through 
the day. Rawness and excoriation of anus much of the time. 
Pustular eruptions on the skin. 

HYGIENIC MEASURES. The best preventives of worms 
are cleanliness, regular habits, open air exercise, suitable 
diet, and such other measures as will improve the general 
health. 

DIETETICS. Persons subject to worms should have a 
good, wholesome, nutritious diet. "Well-cooked beef, mutton, 
fowl, eggs, bread and butter, ripe fruits, fresh vegetables, 
etc. All pastry, sweet cakes, pies, sweetmeats, uncooked vege- 
tables and the like should be avoided. % 

TAPEWORM. The first step in treatment is to get rid 
of the •'critter." The following remedies will be found 
efficient. 

FILIX MAS. This is an old and popular remedy. A 
drachm of the ethereal extract should be given in capsules nl 
bedtime, twelve hours alter fasting, followed by an ounce of 
castor-oil in the morning. 

KOUSSO. This is safe and efficient in taenia. To two 
drachms of powdered flowers, add lour ounces boiling water, 
and when cold administer without being strained. Patient 
should fast the day before using the medicine. The worm 
is generally discharged in 2-1 hours. 

PEPO SEMEN. Is one of the best remedies for tape- 
worm. Take from one to two ounces fresh, dry pumpkin- 
seeds, freed of their shells, powder finely and mix in a little 
milk. Give this in the morning after fasting 24 hours. 
Three hours later take an ounce of Castor-oil. If the first 
dose is not sufficient it may be repeated the following morn- 
ing. 

PUNICA GRANATUM. Pomegranate bark. This has long 
been celebrated as a femicide. Use fresh bark of the root. 
Take two ounces of b irk hashed, soak over night in a pint 
and a half of water, then boil down to one pint. Strain and 
administer lukewarm in three doses, at intervals of an hour, 
after having fasted. 

ROTTLEKA. Kamala. This is highly commended in 
tenia. The dose of powdered kamala is about two drachms, 
prepared in gum-arabic emulsion, and repeated every three 
hours if necessary. If two or three doses prove inefficient, 
add a drachm of the oil of male fern, and repeat. 



284 THERAPEUTIC KEY. 

WOUNDS. 

General Considerations, 

ARTICLES OF DRESSING. A great variety of dressings 
are employed in the treatment of wounds, as Lint, Bran, 
Compresses, Bandages, Adhesive Strips, etc. 

Lint. One form of lint is made by scraping old linen 
cloth, and using the soft substance thus obtained. Another 
variety, called patent lint, comes in packages prepared for use. 

Bran. This article being cleanly and easily obtained, 
makes a good dressing in compound fractures and in all 
cases where there is much oozing or suppuration. It also 
makes an excellent packing in fracture-boxes. 

Compresses. These are made of cotton or linen cloth, 
folded to any desired shape or thickness. Used to make 
and equalize pressure, and as a means for applying medi- 
cated lotions. 

Bandages. These are made of cotton or linen cloth, cut 
three inches wide, and about three or four yards long, 
rolled tightly. In applying the bandage, every succeeding 
turn should overlap the one immediately below it, and where 
there is any inequality of surface, the reverse turns must be 
made. 

The many-tailed, or Scultetus bandage, is made of roller 
strips three inches wide and long enough to encircle the 
limb once and a half. These are placed on a table side by 
side, overlapping each other about an inch. Then a strip of 
roller is laid in the centre at right angles, and stitched to 
the pieces to hold them in place. 

To apply the bandage, place it under the limb with the 
central piece extending along the posterior surface of the 
leg. Now beginning at the lowest end, bring the tails one 
over the other until the last strip is reached, and secured 
with a pin. 

Adhesive Plaster. Cut in strips from a quarter to half an 
inch or more wide, and in direction of long fibres of cloth. 
To apply, hold the unspread surface of plaster against a tin 
vessel filled with hot water, and when sufficiently warm 
apply quickly. In wounds of scalp or other hairy parts, 
skin must be shaved before applying the plaster. 

GENERAL RULES OF TREATMENT. 

INCISED WOUNDS. The first step in the treatment, is 
to arrest the hemorrhage; this in slight cases may be done 
by compression or torsion. If large vessels are severed, tie 
both extremities with silk or cat-gut ligature. 2d. Remove 
all foreign bodies with finger, forceps or sponge and water. 
3d. Bring edges of wound together and secure with cross- 
strips of adhesive plaster, or sutures of silk or cat-gut. If 
wound is deep and extensive, provide drainage by twisted 
horse-hair, cat-gut, or perforated rubber tube. If much 



WOUNDS. 285 

oozing of blood, apply solution of Tannin or Per Sulphate of 
Iron. 

Dressings. The wound should be dressed with com- 
presses saturated with Aqua Calendula, [half ounce to pint], 
kept constantly wet, and the wound kept scrupulously clean. 
If patient has fever, is restless, and wound painful, give 
Aconite. Staphisagria is a valuable remedy in injuries from 
sharp-cutting instruments. The Calendula dressings have 
given us the most satisfactory results, while others speak in 
highest praise of the 

Antiseptic Dressings. A favorite method of applying 
these is as follows: The operator's hands, instruments, 
sponges, etc., are all soaked in a solution of Carbolic Acid, 
[1-40] before commencing. The wound is frequently irri- 
gated with a solution of Corrosive Sublimate, [4 grs. to the 
pint.] For ligatures, carbolized cat-gut or fine carbolized silk 
is used. For drains, carbolized horse-hair, [twisted together] 
cat-gut or perforated rubber tubes; these are placed in 
bottom of wound, and the ends cut off flush with the skin. 
After the final washing, wound is sprinkled with Iodoform 
and protected by a strip of prepared oiled silk, placed over 
the sutured margins. Over this is placed eight layers of anti- 
septic gauze, larger than the oiled silk, wet with 1-40 Car- 
bolic solution, and on this a layer of Macintosh cloth, 
[glazed side down], and on this a layer of dry gauze. The 
whole is then secured by a neatly-fitting bandage. » 

In most cases the first dressing may remain on four or five 
days, the indication for their earlier removal being a higher 
temperature. When oozing of blood and serum has ceased, 
drainage tubes may be removed and dressings replaced. 

PUNCTURED WOUNDS. These when slight are not 
dangerous, but when extensive are always serious. Great 
care should be taken to remove all foreign matter or portion 
of broken instrument that inflicted the injury. It may be 
necessary to enlarge the wound for this purpose, after which 
dress as advised for Incised Wounds. Ledum is an excellent 
remedy in wounds of this character, also Hypericum. 

LACERATED WOUNDS. These present a torn and ragged 
appearance. The wound should be carefully cleansed of all 
foreign matter. Then draw parts together and secure by 
adhesive plaster, leaving sufficient space between for exit of 
matter. The Calendula dressings should be applied, and 
Calendula given internally. Hypericum is a valuable remedy, 
especially when nerves are lacerated and pains are excruci- 
ating. If there be great weakness, offensive discharge, ex- 
treme thirst, restlessness, threatened gangrene, give Arsenicum. 
Watch patient closely, as hemorrhage or tetanus may ensue. 

CONTUSED WOUNDS. The principal remedy in this form 
of injury is Arnica. It should be used both externally and 
internally. If case is seen early and before inflammation 
supervenes, apply compresses saturated with cold Arnicated 



286 THERAPEUTIC KEY. 

water. If the parts are inflamed, swollen and painful, apply 
compresses saturated in hot Arnicated water, and change them 
often. Should fever, restlessness, and nervous excitability 
occur, give Aconite. Where the joints or tendons are injured, 
pains worse at night, particularly after midnight, give Rhus 
t. If periosteum or tarsal and carpal j oints are contused, give 
Ruta g. 

GUN-SHOT WOUNDS. Prognosis. Wounds of heart, lungs, 
and brain generally fatal if injury reach centre of organ. 

Wounds of spinal marrow mostly cause death. 

Penetrating wounds of abdomen most always fatal. 

Wounds of liver dangerous, but not always fatal. 

Laceration of bladder generally causes death. 

Diagnosis often difficult. The orifice of wound is no guide 
to course of ball. A bullet may strike middle of forehead, 
and instead of going through the brain, pass round the skull 
under the integuments and emerge at the occiput. Again, a 
ball may strike near the breast-bone and pass round the 
ribs and come out near the spine. 

The orifice of entrance of ball is always smaller than 
that of emergence. The latter has ragged, everted edges. In 
searching for ball, place patient near as possible in position 
he was when wound Was inflicted. The finger is the best 
probe, but if object cannot be reached with this, use long 
silver probe. For extracting balls many ingenious instru- 
ments have been devised, but want of space forbids their men- 
tion here. The surgeon will realize the importance of remov- 
ing the ball, shot, fragments of clothing, splinters of bone, etc. 

The remaining treatment should be the same as prescribed 
for incised and lacerated wounds ; Aqua Calendula being the 
principal remedy with which to dress the injured parts. 
Many eminent surgeons, however, prefer the antiseptic 
treatment, believing it preferable. 



YELLOW FEVER. 

PROGNOSIS. Great yellowness of the skin, black vomit, 
suppression of urine, abundant hemorrhage, jactitations, hic- 
cough, coma and convulsions are bad omens. 

A favorable prognosis cannot confidently be entertained. 
An active state of the kidneys, with free flow of urine, is a 
favorable sign. 

THERAPEUTICS. Leading indications. 

ACONITE. Mostly in first stage, when there is burning heat 
and dry skin; full, hard and rapid pulse. Agonized tossing 
about, violent thirst, red face, shortness of breath and great 
nervous excitability. *Headache as if everything would 
press out of forehead, with vertigo on rising. Eyes injected 
and sensitive to light. Vomiting mucus and bile. 



YELLOW FEVER. 287 

BELLADONNA. In early stage. Glowing redness of face, 
with red, sparkling eyes, or fixed look. *Throbbing head- 
ache, with visible pulsations of the carotids. *Furious de- 
lirium, wishes to strike, bite, or quarrel. Tongue coated 
white, yellowish, or brown. Painful heaviness and cramp- 
like pains in back, loins, and legs. Cramp-like, contractive 
pains in stomach. Vertigo, with vanishing of sight, stupe- 
faction, debility. 

BRYONIA. Mostly in second stage. Splitting headache, 
aggravated by motion, opening eyes, or stooping, [Bell.] 
Eyes red, or dull and glassy, or sparkling and filled with 
tears. Tongue coated white or yellow, with dry, parched, 
and cracked lips, *Sitting up in bed causes nausea and faint- 
ness. Food is thrown up immediately after eating. *Patient 
wants to keep perfectly quiet. Great irritability. Everything 
tastes bitter. 

CAMPHOR. Severe and long-lasting chill at commence- 
ment. *Great coldness of skin, yet cannot bear to be cov- 
ered, [Verat.] *Retention of urine. Prostration. 

CANTHARIS. Complete insensibility, cramps in abdomi- 
nal muscles and legs; suppression of urine. Hemmorrhage 
from stomach and intestines, [from all the organs, Crotal.] 
Cold sweat on hands and feet. *Constant desire to urinate. 

ARGENT NIT. Suitable in second stage, when there is 
vomiting of a brownish mass mixed vtith. coffee-ground-like jinkes. 
Dizziness and much confusion in head. Time seems to pass 
very slowly. *Green, fetid stools, passing off with much 
flatulence. 

• ARSENICUM. Face yellowish or livid, with distorted 
features and death-like countenance. Nose pointed, eyes 
sunken and surrounded by dark margins. Burning or sharp and 
darting pain in epigastrium or in region of liver. Limbs 
feel stiff and useless. Frequent stools, with tenesmus, or 
painless and involuntary. *Violent vomiting immediately 
after eating or drinking. *Vomiting a brown and black sub- 
stance, [Arg. n. * Verat.] *Burning in stomach, with great 
thirst, drinking little and often. Rapid prostration. *Ex- 
treme restlessness and fear of death. 

CARBO VEG. Last stage; hemorrhages, with great pale- 
ness of face, violent headache, great heaviness in limbs and 
trembling of body. *Patient wants more air, and to be 
fanned. *Great foulness of all the secretions. 

CROTALTJS. * Hemorrhages from the eyes, nose, mouth, 
stomach, and intestines, [*Ham.] Tongue scarlet-red, or 
brown and swollen. Fetid diarrhoea. 

IPECAC. First stage, when there is vertigo, chilliness, 
pain in back and limbs; uncomfortable feeling in epigas- 
trium. *Continual nausea, with vomiting glairy mucus, 
[see Tart, e.] Diarrhoea, stools fermented. 

MERCTJRITTS. Skin yellow, red, injected; eyes sensitive 
to light. Paralysis of one or more limbs. Drowsy, or sleep- 



288 THERAPEUTIC KEY. 

less from nervous irritation. Dizziness, or violent pain in 
bead. Violent vomiting of mucus and bilious matters, [Ipe. 
Nux.] Burning pain and tenderness of stomach. Diarrhoea, 
with discharges of mucus, bile, or blood, with tenesmus. 
*Much perspiration without relief. Great weakness of 
memory. Aggravation at night and in damp weather. 

KTJX VOMICA. Yellow skin, pale or yellowish face, espe- 
cially around nose and mouth. Eyes injected, yellow, and 
watery, encircled by dark rings. Tongue slimy, or dry, 
cracked, and red on edges. Burning pains in stomach; 
pressure or cramp-like pains in epigastrium. *Vomiting 
acid, bilious matters. Burning pains at neck of bladder, 
with difficulty in urinating, [Canth.] Coldness, paralysis, 
and cramps in legs. * Very irritable, and wishes to be alone. 
Persons of intemperate habits. Aggravation in morning. 

QUININE. In latter stages, when there are regular inter- 
missions and remissions of fever from the admixture of 
malarial influences, this is a valuable remedy. If not tole- 
rated by the stomach, give it by injection. 

TART. EM. Nausea or vomiting, with a sense of sinking 
at the stomach, as if he could not survive a moment. (Jenerai 
prostration of the whole system. Profuse cold sweat, rapid 
and weak pulse, [Verat.] Drowsiness and disposition to go 
to stool. 

VERAT. ALB. Yellowish or bluish face, cold, and covered 
with cold perspiration. Lips and tongue dry, brown, and 
cracked. Trembling and cramps of feet, hands and legs. 
^Violent vomiting of green or black bile,* with great weak- 
ness after. Diarrhoea, stools thin, blackish, or yellow. 
Intense thirst for cold drinks. Excessive weakness* Pulse almost 
imperceptible. *Cramps of the limbs, with cold sweat. 

AUXILIARY MEASURES. Isolate patient Provide for 
free ventilation. Disinfect all discharges. Keep patient in 
horizontal position. Permit but two or three persons in 
room, and forbid talking. Change sheets and clothing daily. 
If fever runs high, sponge body frequently with warm water 
and let dry without being rubbed. If convulsions threaten, 
give hot foot bath, or wrap limbs to the knees in blankets 
wrung out of hot water. For obstinate constipation, give 
enemas of warm soap-suds. 

DIETETICS, Highly important. In early stage, give 
food sparingly. As a drink, fresh soft water, weak black 
tea, orange-juice, rice-water. If patient can take nourish- 
ment, fresh milk, thin gruels, buttermilk, toast-water. 
Later, milk, beef-tea and chicken-broth, [all fat skimmed 
off,] oyster soup, well-boiled rice, ice-cream. Give food in 
small quantities and at short intervals. Return to ordinary 
diet cautiously. 



PART III. 



POST-MORTEM EXAMINATIONS. 



GENERAL DIRECTIONS. 

CONSENT OF FRIENDS. Sometimes there will be great 
difficulty in obtaining consent of friends for a post-mortem 
examination. In such cases it will be better to speak to 
those interested separately or together, and not allow one 
member of the family to decide the matter. Point out the 
peculiarity of the disease, the satisfaction it may afford the 
friends, and the benefit that others may derive from such a 
procedure. 

PRELIMINARY PREPARATIONS. Make preparation at 
place of operation for hot and cold water, slop-buckets, 
sponges, towels, soap, bran or saw-dust, old newspapers and 
some stout twine. 

INSTRUMENTS. An ordinary Dissecting Case will contain 
all the instruments necessary, except a small saw, which 
can usually be obtained at a carpenter's shop. Instruments 
employed in post-mortem examinations should be repolished 
or disinfected before being used on the living. 

Notes should be taken on the spot, in ink, by an assistant, 
especially in medico-legal cases ; heading these by name, age, 
and brief sketch of disease. 

PRECAUTIONARY MEASURES. Guard against absorp- 
tion of virus in all malignant cases. If any abrasions on 
hands, touch with Nitrate of Silver, and cover with collodion. 
Smear hands with lard or olive oil before commencing. 
Should skin be then cut, wash, squeeze and suck imme- 
diately, then apply Carbolic Acid or cauterize with Nitrate of 
Silver. 



OPERATION ON THE HEAD. 

The body lying on a board, place a thick block under the 
occiput. The hair being turned aside, make an incision 
through scalp, over top of head, from ear to ear. Turn 
flaps aside, anterior over face, posterior on back of neck. 
Now, with saw, make a circular incision through skull 
bones, [being careful not to injure dura mater,"] using a 
chisel to pry off calvarium. This being done, open longi- 
tudinal sinus, and with scissors cut through dura mater on a 
13 (2S9) 



290 • THERAPEUTIC KEY. 

line with division of bone ; it may now be lifted up, when 
adhesions will be found beneath its under surface and pia- 
mater along either side of falx cerebri. These being divided, 
the whole may be turned back, exposing the brain. 

To remove the brain, raise anterior lobes, divide the 
several pairs of nerves, the tentorium on either side, pass- 
ing knife down into foramen magnum,, divide medulla 
oblongata and vertebral arteries, when the organ may be 
lifted out. 

Having examined external surface, the hemispheres may 
be sliced off down to corpus callosum; this being removed, 
lateral ventricles will be exposed. Removing other portions 
in this way, the fornix, velum interpositum, third and fourth ven- 
tricles, and all parts of organ will be exposed. 

Base of skull should next be inspected; open lateral and 
other sinuses, tear away dura mater, and examine for frac- 
tures, etc. Examination completed, replace brain, put on 
calvarium, bring scalp over same, and unite with stitches. 



REMOVAL OF SPINAL CORD. 

Place body in prone position, make incision whole length 
of back over spinous processes ; then turn aside the integu- 
ment and muscles, exposing lamina3 of vertebra. Now, 
divide the latter on each side with saw and chisel, when 
laminae and spinous processes can be removed. By dividing 
roots of nerves on either side, cord enclosed in its sheath 
may be taken out. 

The dura mater may now be opened and cord examined. 
If a portion of cord is desired for microscopic examination, 
put it in a solution of Kali bichro. [20 grs. to ounce water] 
and after three days, transfer to solution Chromic acid, [2 grs. 
to ounce water] and let remain till hard enough to cut in 
thin slices. 



EXAMINATION OF THE NECK. 

Make an incision in median line of neck from chin to 
sternum. Turn aside integuments, separate muscles of 
tongue from jaw, and divide mucous membrane on each side 
of tongue. The latter being well drawn down beneath the 
jaw with tenaculum, carry knife back on either side, dividing 
muscles, mucous membrane, palatine arches and tonsils, 
including posterior walls of pharynx. The slight adhesion 
to spinal column being divided, the tongue, larynx, trachea 
and oesophagus may be removed together. 

The oesophagus and trachea being divided at point of en- 
trance to chest? may be opened and examined. 



EXAMINATION OF THE CHEST, ETC. 291 

EXAMINATION OF THE CHEST. 

Make an incision in median line through the skin and super- 
ficial tissues, from upper end of the sternum to umbilicus. 
It abdomen is to be examined at same time, extend incision 
to the pubes; otherwise, make a transverse cut from navel 
to border of chest on either side. These being made through 
muscles and peritoneum, the flaps may be turned up on the 
chest and peritoneum divided along the cartilages of the ribs 
liie skin and muscular tissues of chest should now be dis- 
sected up together and turned aside. Then, with a strong 
knife, divide the cartilages at their union with ends of the 
ribs, also the ligaments which connect sternum with clavicle 
Now raise sternum from below, divide the mediastinum, and 
remove it, exposing internal organs. 

THE HEART, which will first engage attention, is about 5 
inches long, 3} broad, and weighs about 10 ounces The 
pericardium which envelops the heart contains about a drachm 
of liquor pericardii. It may be drawn out with a syringe and 
measured. * * 

The heart may be removed by dividing the larger vessels 
at its base. To examine it internally, open the right auricle 
first by an incision along its base, another meeting this at 
right angles will expose its interior. Next open ventricle bv 
an incision running parallel with the groove, dividing right 
from left ventricle; now make another incision aW pos- 
terior groove meeting former at apex, thus making a triangu- 
lar flap which if turned aside will expose its interior. 

1 he left side of the heart may be opened in same way. Semi- 
Ivnar valves may be exposed by opening pulmonary artery 
and turning aside its walls. * * 

THE LUNGS. Generally the lungs will be found in a col- 
lapsed state unless extensive adhesion prevents this. Thev 
may be examined in situ, unless a careful inspection is de- 
sired m which case divide trachea and oesophagus, which 
draw down, and divide posterior mediastinum, also aorta 
and oesophagus as they pass the diaphragm, and remove the 
detail m ^^ * th6y may be °P ened * ana examined in 

All blood should be absorbed, organs replaced, and incis- 
ions sewed up. * 

OPERATION ON THE ABDOMEN. 



Make an incision through the skin and superficial struc- 
ture from sternum to pubes. Carefully divide peritoneum 
at a given point, so as to admit two fingers to serve as a 
guide in completing the incision. Next make a cross in- 
cision at umbilicus, then turn the angular flaps aside expos- 
ing the abdominal viscera. In many cases it will not be 



292 THERAPEUTIC KEY. 

necessary to remove any of the organs, while in others the 
whole viscera must be examined. 

SMALL INTESTINES. These are about 20 feet long; 
they may be removed en masse or in sections. Apply double 
ligature at lower end of ilium and just below duodenum, 
divide bowel between these, and clip off the mesentery 
along intestinal border, when they may be removed and 
opened for inspection. 

LARGE INTESTINE. The colon is about 5 feet long ; any 
portion of it may be removed by observing same care in the 
application of ligatures as above suggested. 

THE STOMACH. This organ varies greatly in size ; when 
moderately distended, the transverse diameter is about 12 
inches, and the vertical about 4 inches. If it is to be 
examined internally, it should be removed from the body. 
Detach both omenta with fingers or scissors, place a ligature 
round oesophagus at cardiac end of stomach, and double one 
just below pyloric orifice ; now divide oesophagus and bowel 
between ligatures, and stomach may be removed. If the 
contents are to be analyzed, place the organ at once in a clean 
jar, seal, label, and hand over to the chemist. If only the 
inner surface of organ is to be examined, open along one of 
curves, remove contents and cleanse thoroughly. 

THE KIDNEYS. These may be removed by tearing open 
peritoneum with fingers and dividing vessels with knife. 
To examine the gland, make longitudinal incision along 
convex border and expose its interior. 

Each kidney is about 4 in. long, 2 in. broad, 1 in. thick; 
weighs from 4 to 6 ounces. 

THE SPLEEN. This is a ductless gland, situated in left 
hypochondriac region, embracing cardiac end of the stom- 
ach. It is of bluish-red color, about 5 in. long, 3 in. broad, 
1 in. thick, and weighs about 7 ounces. 

THE PANCREAS. This is situated transversely across 
the posterior wall of abdomen, in front of aorta. To remove 
it, raise the liver, draw down the stomach, and tear through 
gastro-hepatic omentum. The gland is 6 to 8 in. long, 1J 
in. broad, from half an inch to an inch thick; weighs about 
3 ounces. 

THE LIVER. In most cases this organ may be examined 
in situ. Where removal is necessary, first draw down the 
organ and divide suspensory ligament, then with fingers 
carefully separate the gland from diaphragm, using knife to 
divide vena cava, which it will be necessary to sever at upper 
and lower border of the gland, together with portal vessels, 
hepatic artery and duct. This done, it may be lifted out. 

The liver is the largest gland in the body, weighs from 3 
to 4 lbs. The gall-bladder, lodged in a fossa on the under 
surface of right lobe, is about 4 in. long, and holds from 8 to 
10 drachms. 

THE PELVIC VISCERA. These with external genitals may 



MEDICO-LEGAL AUTOPSY. 293 

be removed together. Apply double ligature to the upper 
portion of rectum, and cut between. Next divide peritoneum 
around border of pelvis, round and broad ligaments of uterus 
in female ; then strip the bladder down from inner side of 
pubes, and tear rectum loose from sacrum. Now flex the 
thighs upon abdomen, make incision through skin of mons 
veneris just over anterior commissure of vulva or penis of 
male, then carry knife on either side of genital organs meet- 
ing behind the anus. Carry incision back until parts are all 
detached, when the whole may be removed. 



MEDICO-LEGAL AUTOPSY. 

{Method of Conducting the Examination.) 

It may be necessary to examine the spot and locality where 
the body was found, position it occupied, and make careful 
inspection of clothing and surroundings. 

Where death is thought to result from poisoning, all the 
viscera must be examined. The stomach and intestines, with 
their contents, must be removed, put in clean and separate 
vessels, and after being carefully examined, placed in clean 
glass jars, securely corked, labeled and given to the chemist 
for analysis. Portions of the liver, spleen, kidneys, and brain, 
should be preserved for future analysis. 

RECORD. An assistant should make a careful record of 
post-mortem appearance at the time — in ink — which must be 
read and endorsed by the physician. 

EXTERNAL INSPECTION. Divest the body of all cloth- 
ing, and note especially : 

1. The Sex. If external genitals are destroyed, sex can 
still be ascertained by size, shape of pelvis, etc. A circum- 
scribed arc of hair on mons veneris is distinctive of female. 
While its projection upwards in angular form marks the male. 

2. The Age. This can only be conjectured, and it is best 
to allow a wide margin. 

3. The Size. Measure length accurately from crown of 
head to sole of heel. 

4. General Condition of Body. Lean or fat, etc. 
6. Color and Condition of the Hair. 

6. Color of Eyes. Open or shut, etc. 

7. Teeth. Number and condition. Accurate description 
advisable for identification. 

8. Special Marks or Deformities. All scars, tattoo-marks, 
ulcers, etc., should be noted. 

9. Injuries or Wounds. Describe their position, dirction, 
length, breadth, etc. 

10. Natural Openings. Examine ears, nose, mouth, anus 
and female genital organs. 

INTERNAL EXAMINATION. Open the head, chest and 
abdomen ; that part most likely to reveal the cause of death, 



294 THERAPEUTIC KEY. 

open first. In case of new-born infants, however, open 
abdomen first, in order to determine the natural position of 
diaphragm. Note position of organs, appearance of each, 
amount of fluid effused, blood, etc. Examine wounds far 
as possible before disturbing any organs. 

In presenting a report to court, describe only post-mortem 
appearances, give no opinion unless required by the court. 



DEATH OF NEW-B0B2J INFANTS. 

(Medico-Legal Questions.) 

The physician may be called upon to answer the following 
questions after the body of a dead infant has been found. 

WAS CHILD MATURED ? The most positive proof, is ossi- 
fication of central epiphysis in lower end of the femur. Open 
knee-joint by cross section, and expose end of the bone, 
then remove cartilage by thin slices till greatest diameter of 
bony nucleus is reached, which if visible will appear as a 
bright red spot. If this centre of ossification is absent, 
foetus is not more than 36 or 37 weeks old, but if it shows a 
diameter of 2 or 3 lines, foetus has arrived at full term, and 
if more than 3 lines, child has lived after birth. 

WAS CHILD BORN ALIVE? Signs from position of dia- 
phragm. Open abdominal cavity well up into chest, so as to 
measure highest point of concavity of diaphragm ; this is found 
between 4th and 5th ribs in children born dead, and between 
5th and 6th in those born alive. 

Hydrostatic Test. Use large deep vessel, filled with pure, 
cold water. If respiration has taken place, lungs will float — 
buoyancy depending on completeness with which air has 
penetrated the tissues. Only one lung or lobe, or part of 
such may float. 

Bluish-red insular patches in the lungs are proof of child 
having breathed. 

Lungs of a live-born child are crepitant and spongy, those of 
a still-born resistant, liver-like. 

Buoyancy of lungs arising from gases caused by putrefac- 
tion, must not be mistaken for that due to respiration. 

HOW LONG DID CHILD LIVE AFTER ITS BIRTH % If no 
blood or unctuous matter on body, time and opportunity must 
have been afforded to remove these. 

Contraction of umbilical arteries in living child does not 
take place for 8 or 10 hours. 

If umbilicus has cicatrized, child must be at least 5 days 
old. 

At birth stomach contains a little white, transparent, tough 
mucus, or a small quantity liquor amnii. If milk be found, 
child probably lived 3 days. 

Meconium is found in large intestines 2 to 4 days after birth. 

WHAT WAS THE CAUSE OF DEATH? Death may occur 



THE PERIOD WHEN DEATH OCCURRED. 295 

during labor from cerebral hyperemia, or injuries to cranium, 
due to imperfect ossification of bones; in which case there 
will be no marks of violence on the body. 

Death may result from coiling of cord around the neck, pro- 
ducing strangulation. In this case, the mark on neck will be 
broad, soft, circularly depressed, grooved, never excoriated. 
Whereas, if child was purposely strangulated, mark will be 
deep, hard, interrupted, and excoriated. 

Prolapsus and pressure of the cord may cause death with 
all appearances of suffocation. The absence of any marks 
of violence must decide the question here. 

Death may occur at time of birth, by child falling on 
floor, striking the head. Probable result of such a fall, 
would be rupture of cord, fracture of skull, and concussion 
of brain. Fracture of several bones of head, and signs of 
violence on other parts, speak against accidental death from 
such a fall. 

The child may be suffocated by the mother in attempting 
self-delivery. In this case, only scratches or marks on face or 
neck would be visible. Severe injuries are never produced in 
this way. 

THE PERIOD WHEN DEATH OCCURRED. 

We can only approximate the period of death by noting 
the phenomena which occurs previous to putrefaction. 

1. The complete cessation of respiration and circulation. 

2. General relaxation of muscles immediately after death. 

3. No vital reaction to stimulants. 

4. Body grows ashy-white, [A very florid complexion may 
retain its color some days after death.] 

6. The red or livid edges of ulcers, and tattoo-marks do not 
disappear after death. 

6. An icterus hue, or ecchymosis existing at death, remains 
the same. 

7. Body becomes cold in 8 or 12 hours. Fat persons and 
those killed by lightning, or suffocated, retain heat longer 
than others. 

A body presenting only the above signs, has not been dead 
more than 8 or 12 hours. 

8. In from 12 to 18 hours, the eye-balls become soft, inelas- 
tic, and feel flaccid. 

9. In from 8 to 12 hours after death, hypostasis, or the set- 
tling of blood in capillaries, begin to form in all depending 
parts. External hypostasis must not be mistaken for ecchy- 
mosis. If an incision be made in the former, no effused 
fluid or blood will escape, while in the latter it will be other- 
wise. 

RIGOR MORTIS, or stiffening of dead body, begins on back 
of the neck, passes over facial muscles, neck, chest, upper 
extremities, and last of all, lower extremities. It begins 



296 THERAPEUTIC KEY. 

after 8, 10 or 20 hours, and may last 9 days, A low temper- 
ature, and the effects of alcohol retard stiffening. 

PUTEEFACTION. The progress of this is modified by 
age, condition and circumstances. 

Bodies of new-born infants putrefy rapidly, while those of 
quite old people very slowly. 

Fat, flabby, lymphatic bodies putrefy quicker than lean 
ones. It is rapid after death from injuries with much muti- 
lation, from suffocation, and narcotic poisons. 

It is slower after death in healthy persons, and from pois- 
oning by Phosphorus, Sulph. acid, and Alcohol. 

When a body is excluded from air by earth, water, cloth- 
ing, etc., decomposition is retarded. 

Bodies exposed to the air begin to putrefy externally, with 
greenish coloration of abdominal coverings, in from 24 to 72 
hours after death. 

Bodies lying in water, putrefaction begins in face, head, 
ears, neck, with a livid bluish tinge, soon turning red. 

After from 3 to 5 days discoloration has spread over whole 
abdomen and external genitals. 

After from 8 to 10 days it has spread over whole body ; 
abdomen distended with gas, the peculiar odor developed, 
and cornea sunken, concave. 

In 14 to 20 days the whole body is bright green, mixed 
with red and brown; epidermis raised and blistered here 
and there, nails loose, and maggots cover the body. 



PROBABLE CAUSE OF DEATH. 

Wounds inflicted during life always show signs of vital 
reaction, as swelling, inflammation, bleeding, etc., while such 
signs are absent in wounds made after death. 

A contused wound seldom represents exact size of weapon 
used. Examine depth, breadth, direction and number of wounds; 
they often furnish a clew to position and object of perpe- 
trator. 

Gunshot wounds made after death are never so deep as 
similar ones made in live body, and their track can be dis- 
tinctly traced. 

Burns on dead body never produce vesication, except by 
intense heat, then bulla never contains serum or has boundary 
line of redness. 

Apoplexy may be distinguished from cerebral hemorrhage — 
the result of injuries — by small amount of blood effused in 
former case, while in the latter it will be much more exten- 
sive. 

Body found in water. Was it dead or alive when it entered 
therein? If some of the fluid in which the body was lying 
be found in the stomach, and is such as never voluntarily 
drank, it is the surest sign that body was alive. Examina- 
tion will reveal the cause of death. 



DEATH FROM POISONING. 297 

DEATH FROM POISONING. 

Post-Mortem Appearances. 

ALCOHOL. The morbid appearances are : hyperemia of 
brain, sometimes cerebral hemorrhage. Also hyperemia of 
large abdominal veins, heart and lungs. Fluidity and dark 
color of blood ; odor of brandy ; body slow to putrefy. From 
2 to 6 ounces have proved fatal. 

ARSENIC. Inflammation of alimentary canal ; inner sur- 
face of stomach red or blackish from extravasation of blood, 
sometimes thickened, with rugse raised, corrugated. San- 
guinolent fluid or actual blood is often found in the stom- 
ach. Blood in a state of great fluidity. There are some 
cases in which no morbid appearances are to be seen. 
Arsenic, like alcohol, retards putrefaction. From 2 to 3 
grains have proved fatal. Death may ensue in half an hour, 
or be delayed for 2 or 3 weeks. 

CARBONIC OXIDE. After death from this gas, a bright 
cherry-red color of the heart is characteristic. Also hyper- 
emia of lungs and right side of the heart. 

CORROSIVE SUBLIMATE. Appearance very similar to 
that of Arsenic, but mouth, throat and gullet more affected, 
being white or bluish-gray color. Coats of stomach and 
intestines, particularly the colon and rectum, congested and 
inflamed. Bladder contracted; kidneys congested and in- 
flamed. Three grains have proved fatal. 

HYDROCYANIC ACID. The lesions produced are uncer- 
tain. The spine and neck are stiff, abdomen contracted, 
skin livid. On opening the body, odor of the acid is observed. 
Turgescence of veins and emptiness of arteries. Stomach and 
intestines congested and red. Liver and lungs gorged with 
blood. This acid in -f$ of a grain has proved fatal. 

NITRIC ACID. Appearances similar to those described 
under Sulphuric Acid. Only marked difference is, Nitric ac. 
pre due s yellow color of the skin, lips, mouth, etc., which 
it touches, while Sulphuric ac. colors the parts brownish. Two 
drachms have caused death. 

OPIUM. The skin is usually livid. Vessels of brain 
turgid, and watery effusions in ventricles. Lungs gorged 
with blood, stomach sometimes red. Blood always fluid, and 
putrefaction rapid. Four grains have proved fatal. 

OXALIC ACID. The mucous membrane of the mouth, 
throat, and gullet looks as if scalded. Stomach contains thick 
fluid, dark like coffee-grounds ; inner coat pulpy, some points 
black, others red. Sixty grains have proved fatal. 

PHOSPHORUS. After death from Phos., stomach is found 
contracted, mucous membrane inflamed, partly ash-colored, 
partly dark purplish red, and exhibits gangrenous ulcers. 
On opening stomach, strong smell of garlic. Fatty degenera- 
tion of liver, heart and kidneys. Two grains of Phos. have 
caused death. 
13* 



298 THERAPEUTIC KEY. 

STRYCHNIA. The rigidity of body which existed before, 
often remains for hours after death. Hands are clenched, feet 
arched, or turned inwards. Congestion of membranes of 
brain and spinal cord. Very slight irritation is found in the 
stomach or intestines. Half & grain has proved fatal. 

SULPHURIC ACID. On the lips, fingers and other parts 
of the skin where the acid has touched, spots and streaks of 
a brownish or yellowish-brown color are to be seen. The 
lining membrane of mouth and fauces whitish, while that 
of the throat and gullet is brown or ashy-gray and corroded. 
The stomach, if not perforated, is collapsed and contracted, 
and contains yellowish-brown or black matter. If the 
stomach be perforated, holes are roundish, with vascular 
margins. Inner coat of duodenum often resembles that of 
stomach. Bladder usually empty. Blood thicker and of acid 
reaction. Bodies slow to putrefy. One drachm of acid has 
proved fatal. 

DEATH FROM SUFFOCATION. 

Death from impeded respiration, or inhaling noxious gases, 
presents the following appearances : Face bluish-red, swollen, 
with protruding eyes. Froth often issues from mouth. 
Mucous membrane of larynx and trachea injected and of 
blood-red color. Trachea contains frothy mucus, or bloody 
foam ; more gradual suffocation has been, greater quantity 
of this fluid. Unusual fluidity and dark color of blood. 
Hyperemia of lungs and congestion of pulmonary artery. 
Right side of heart gorged with blood, left empty. 



DEATH FROM HANGING, THROTTLING, ETC. 

In these cases death may result from dislocation of neck, 
cerebral congestion, thoracic congestion, and from neuro- 
paralysis. The internal appearances will vary accordingly. 

The face may be livid, with protruding eyes and tongue, 
or be like any other corpse. 

The mark of cord on neck may be a dirty, yellowish- 
brown color, cutting hard and leathery, or of a blue or dirty- 
reddish color soft to cut. If cord has been hard or rough 
excoriation will be visible. Similar marks of cord may be 
made after death. 

In case of throttling, finger-marks will be visible of a dirty, 
brownish-yellow color, hard to cut, not ecchymosed. 



DEATH FROM DROWNING. 

In death from drowning the appearances upon dissection 
are almost identical with death from asphyxia or strangula- 
tion. The cutaneous surface resembles " goose-skin." Face 



PRESERVING SPECIMENS OF MORBID ANATOMY. 299 

pale, not swollen, eyes closed. If body has been in water 
several days, face will be reddish, or blue-red ; putrefaction 
begins in head, and extends downwards. [See Putrefaction]. 

Feet and hands have a livid, grayish-blue color, and skin 
corrugated in longitudinal folds, if body has not been taken 
out of water within 8 hours after death. 

Penis and scrotum contracted, if body entered the water 
alive. 

Dissection reveals cerebral congestion, the rarest form; 
thoracic congestion, or neiim-paralysis, the last two are of 
equal frequency in drowning. 

Lungs increased in volume, all cavity of chest, are not 
crepitating, feel like sponges. 

Trachea and bronchial tubes mostly filled with frothy 
mucus. Very little water enters the lungs or stomach. 



PRESERVING SPECIMENS OF MORBID 
ANATOMY. 

That the fullest benefit may be realized from a post-mortem 
examination, any rare specimens found should be carefully 
preserved. 

SOFT TISSUES.— All specimens of soft tissues to be pre- 
served should be thoroughly washed and soaked in water, 
which is freqently changed* until all blood is removed. In 
warm weather it will be necessary to add a little alcohol, 
carbolic acid or common salt to the water to prevent putridity. 

All blood having been removed, place the specimen in 
alcohol, slightly diluted, and let it remain until thoroughly 
"cured." Small specimens will not require the alcohol so 
strong to cure them as larger ones. After being well " cured" 
equal parts of alcohol and water will be sufficient to preserve 
all specimens except large ones, which will require two-thirds 
alcohol to one of water. 

GLASS JARS. — The best form of vessel for preserving speci- 
mens in is a glass jar with a ground stopper; the latter should 
have a hook in the centre from which to suspend the speci- 
men. 

AVhere the common jar is used, great care will be required 
to make it tight so as to prevent evaporation. Take a 
piece of thick sheet lead, cut round to fit on top of the jar ; 
make two small holes near the centre through which to pass 
a string to suspend the specimen. The holes and string on 
top of lead should be well covered with sealing-w r ax to pre- 
vent the alcohol from escaping. Then take a piece of moist- 
ened bladder, place it over the lead, and with strong twine 
tie it down tightly around the neck of the jar. When dry 
cover with a coat of black varnish, then another layer of 
bladder and another coat of varnish. 



300 PREPARATION OF BONES. 

Preparations of this kind should be kept in a well lighted 
room and not in a dark closet. 

SPECIMENS FOR MICROSCOPICAL EXAMINATION.— To 

preserve sections of tumors, glands, membranes, spinal cord, 
brain, etc., for microscopic examination, take Bichromate of 
Potassa, 75 grains ; Sulphate of Soda, 35 grains ; dissolve in 
six ounces of water. Suspend the specimen in this solution 
until it is sufficiently hardened to be cut into thin sections. 



PREPARATION OF BONES. 

In preparing pathological specimens of bones, two methods 
are employed. The boiling process may be used where the 
texture of the specimen is firm and solid. Maceration is 
the better method, especially in all cases where the bone is 
softened by caries or necrosis. Strip off the soft tissues and 
place the bone in a vessel of water ; change the latter daily, 
so long as it becomes colored by the blood. Then let it re- 
main in the water until the putrefactive process softens the 
tissues so they may be easily removed, after which thoroughly 
wash in soda water. If the weather is cold the macerating 
must be conducted in a warm room. 

To remove the grease and improve the color of bones, 
they may be bleached by covering them for a few days with 
Sulphuric Ether. Such specimens should be mounted to ex- 
pose their interesting points. 



CHARACTERISTIC SYMPTOMS 

OF THE MOST IMPORTANT 

HOMGEOPATHIC REMEDIES 



ACONITUM NAPELLUS. 

MIND. Fear and anxiety of mind, with great nervous ex- 
citability, [see Bell. J *Fear of death ; predicts the day he 
will die; [desires death, Aur. Bell. Phos.] * Anxiety, restless, 
agonized tossing about. Over-sensitive, cannot bear light or 
noise. Fitful mood, changing from one thing to another ; sings, 
whistles and weeps, [Bell.] Delirium, especially at night f 
[Bapt.] 

HEAD. Vertigo on rising from a seat, stooping, or looking 
up, [Bry. Podo. *Puls.]. * Congestion of head, with great 
heat and redness of face, [*Bell. *Bry.] Fulness and heaviness 
in forehead, as if the brain would start out of the eves, [*Bell. 
*Bry. Mere — Sensation of emptiness in head, Carol, r. Cocc. 
Ign. Opi.] * Piercing, throbbing pain in forehead; worse 
from motion. Burning headache, as if brain were moved by 
boiling water, [Indigo.] *Hair feels as if standing on end, 
[Bary. c. Dulc. — As if a cluster were pulled out of vertex, 
Mag. o. Indigo.] 

EYES. Acute ophthalmia, with burning, shooting pains. 
Aversion to sunlight, [*Bell. Con. Euph.— Candlelight, Gel. 
— Desires light, Stram.] Hard, red swelling of lids, [with 
scurfs and ulcers on edges, Merc] 

EARS. * Roaring in ears, [see Chin.] Acuteness of hear- 
ing; noise is intolerable, [Mag. o. Phos. ao. *Sil. — Dulness 
of hearing, Ars. Bell. *Calc. Phos. Stram.] Inflammation of 
external ear. 

NOSE. * Bleeding of nose, especially of plethoric persons, 
[Bry. *Bell.] Acuteness of smell. 

FACE. Swollen, red and hot, [dark-red, bloated, *Bell. Hyos. 
Opi. — See Merc] On rising, the red face becomes pale, [the 
least emotion produces a red-flushed face, *Ferr. — Pale, death- 
colored face, with distorted features, *Ars. Canth. Phos.] 
Neuralgia, left side. 

MOUTH and THROAT. Lips dry and black, [*Ars. Bry. 
*Merc. — *Continually licking his dry, parched lips, Ars.] 
Great dryness of mouth and tongue, [* Ars. Bry. Cham. — With- 
out thirst, Bell. Lye *Nux m.] Tongue coated white. * In- 
flammation of throat, (palate, tonsils, fauces), with high fever, 
dark redness of parts, burning, stinging pain, [*Apis. Bell. 

301 



302 ACONITUM NAPELLUS. 

Merc] Stinging in throat when swallowing, [Apis. — Burning, 
shooting, Bell.] 

STOMACH and ABDOMEN. * Bitter taste of everything 
except water, [all food and drink taste bitter, *Bry. Colo. Chin. 
Puis.] Unquenchable thirst, but drinks little and often, [*Ars. 
Apis. Chin. Hyos. — Takes large draughts at long intervals, 
Bry.] Bitter, bilious vomiting, with cold perspiration, [with 
cold sweat on forehead, *Verat. — See Ipec] *Infl animation 
of stomach, [*Ars. Canth. *Phos. Nux.] Violent pains in 
stomach after eating or drinking, [*Ars. Ferr. *Nux. Puis.] 
Acute hepatitis. * Pressure in region of liver. Inflammation of 
bowels, with sharp, shooting pains in whole abdomen, which is very 
tender to touch. ^Inflammation of hernial stricture, with bil- 
ious vomiting, [see Nux.] 

STOOL. Frequent, scanty stools, with tenesmus, [Ars. Bell. 
Colon. Merc. [*Green, watery stools, like chopped herbs, 
[like scum on frog-pond, *Mag. c] White stools, [Calc. Chin. 
Hep.— Black, Camph. Chin. *Lept. *Verat.] Seat-worms, with 
nightly itching at the anus. 

URINE. * Retention of urine, with stitches in kidneys, [see 
Canth.] Difficult and scanty emissions of bright red urine, 
[brown, blackish, Colch. Nat. m. Tereb. ] Burning and tenesmus 
at neck of bladder. 

SEXUAL O'S. Piercing, pinching in glans penis when uri- 
nating. Bruised pain in testicles. 

Overitis after sudden checking of menstrual flow. * Menses 
too profuse and protracted, especially in young and plethoric 
women, [*Bell. Calc. -See Puis.] "^Suppression of menses 
from fright, [Lye— From cold, *Dulc. Podo. *Puls. Sulph.] 
Too scant, or suppressed lochia, [with splitting headache, 
*Bry.] Rigidity of os uteri, [Bell. *Caul. Gel.] 

RESPIRATORY O'S. Inflammation of larynx and bron- 
chia, [Bell. Dros. Phos.] * First stage of croup, with dry 
cough and loud breathing during expiration [see Spong.] 
* Every expiration ends with hoarse, hacking cough. The 
child grasps at the throat with every coughing fit. Shortness 
of breath when sleeping or rising up. Paroxysms of suffoca- 
tion, with anxiety, [Ars. Hep. Lach.] * Pleurisy and Pneu- 
monia, with great heat, much thirst, dry cough and nervous 
excitement, [*Bry. Kali c. Phos.] Hot feeling in lungs. 
Stitches in chest, with dry, hacking cough. * Palpitation of 
the heart, with great anguish. 

SLEEP. Sleeplessness, with restless tossing about, [Ars. Bell. 
Cham. — Sleepy, but cannot sleep, *Bell. Ferr. *Opi.] Dreams 
with a sort of clairvoyance, [Phos.] * Nightly delirium. 

FEVER. Pulse hard, full, frequent, [Bell. Bry!! Hyos. Stram. 
— Sloiv, full, Dig. Merc. *Opi.— Small, contracted, weak, Ars. 
Carb. v. Phos. ac. *Verat.] * Chili and synochal fever, with 
dry, hot skin, violent thirst, red face, shortness of breath and 
great nervous excitability, [see Bell. Bry.] Sensation of cold- 
ness in the blood-vessels, [Verat, — As if hot water were cours- 



ANTIMONIUM CRUBUM. 303 

ing through them, *Ars. *Rhus.] Perspiration over whole 
body, [only on upper part, Sep.] Bad effects from suppressed 
sweat. 

SKIN. Red, hot, swollen, shining skin, [Bell.] Morbilli. 
Purpura niillaris. * Rubeola, Variola. 

CHARACT. PECULIARITIES. Adapted to sanguine, ple- 
thoric persons, [Am. *Bell. Hepar. Merc. — Leucophlegmatic 
persons, Ars. Calc. c. Nit. ac. Sulph.] Congestions of head, 
heart, chest, [*Bell. Bry.] Complaints arising from expos- 
ure to cold, dry winds, [Hepar.] Excessive sensibility to least 
touch, [Agar. Bell. Bry. Nux m.] Attacks of pain, with thirst 
and redness of face, [with chilliness, Ars. *Bell. Sep. *Puls. 
— Chilliness after pains, [Kali o.] Stinging pains in affected 
parts, [*Apis.] * Pains insupportable, especially at night, 
[*Ars *Cham. Coff. Lach.] Stitches here and there, [Bry.] 

Aggravation in evening (chest symptoms) when lying on left 
side; [Cact. Phos.] in a warm room, [Croc. *Puls. Sec. Verat.] 

Amelioration in open air, [Puis.] nervous symptoms ; when 
sitting still, [Bry.] rheumatism. 

ANTIMONIUM CRUDTJM. 

MIND. * Loathing of life. *Sentimental mood. Conduct 
like that of an insane person, [gesticulates, dances, sings an 1 
laughs, Bell. *Stram.] * Child cannot bear to be touched or 
looked at, [cries if spoken to, Sil. — Cries if touched, Cina. 
Tart, e.] 

HEAD. Vertigo, with nausea, or bleeding of nose, [with 
nausea and headache, Apis.] Congestion of blood to head, 
followed by bleeding of nose, [headache, with nosebleed, Alum. 
Carb. a. Coif. Dulc] Stupefying headache, with nausea; 
worse in evening ; after eating or drinking, [see Puis.] *Head- 
ache from bathing, [Calc. c. Puis. — From use of tobacco, Aeon. 
Ant. Ign.] Headache from deranged stomach. 

NOSE. *Coldness in nose when inspiring. *Sore, cracked 
and crusty nostrils, and corners of mouth, [cracks in point of 
nose, Carbo a.] Epistaxis after headache, [with headache, 
Alum. Carbo a. Dulc] 

MOUTH. * Thick, milky-white coating on tongue, [Am. 
*Bry, Nux v. Sep. —Coated as if with fur, *Merc. Puis.] Stilish 
totting saliva. Decayed teeth ache worse at night, and from 
contact and cold water, [better from cold water, *Coff. Puis.] 
Profuse bleeding of gums, [Ars. *Merc. Nit. ac. Phos.] 

STOMACH. Derangement from overloading stomach, [Ipec. 
Nux. Puis. — From* eating fat food, pork, etc., Carb. v. Ipec. 
*Puls.] Stomach very wrak, easihf deranged. * Fluid eruc'a- 
tions tasting of ingesta, [Calc. o. Chin. Con.] Violent nau-iea. 
* Terrible vomiting which nothing can stop, [Lob. in. Tart, 
em.] Vomiting slime and bile, [Ipec] Violent vomiting and 
diarrhoea, [*Ars. Jatropha. Tart. e. * Verat.] Cramp like pain 
in stomach from indigestion, [Chin. Nux. *Puls.] 



304 APIS MELLIFICA. 

STOOL. * Sensation as if a copious stool would take place, 
when only flatus is passed ; finally, a hard stool is voided. 
* Alternate diarrhoea and constipation, especially of aged per- 
sons, [Bry. Lach. *Phos. Rhus.] Watery diarrhoea, with cut- 
ting pain in bowels, [without pain, Ars. Ferr. *Podo.] 

FEVER. Pulse very irregular, [Ars. Dig. Lauro. Merc] 
Chilliness preponderates, even in a warm room, [Anac, Mez. 
*Puls.] * Intermittent fever ', with great sadness and a woeful 
mood ; desire to sleep, and no thirst. Heat, especially during 
night, with cold feet. Perspiration when awaking in morning. 

CHARACT. PECULIARITIES. Disposition to grow fat, 
[Bary. c. *Calo. c. Sulph. — To grow lean, Ars. Chin. *Iod. 
Phos.] When the symptoms reappear they change their 
locality, or go from one side of body to the other. 

APIS MELLIFICA. 

MIND. * Absent-mindedness. Inability to fix the thoughts 
on any subject, [confusion of mind, cannot connect his 
thoughts, *Gels. — Anxiety, with fear of losing one's mind, 
Merc, v.] Delirium, after suppressed scarlet eruptions, [Bell. 
Bry. Opi.] 

HEAD. Vertigo, with nausea and headache, [with nausea 
and nosebleed, Ant. c] Pressing pain in forehead and tem- 
ples ; worse when rising, and in a warm bed, relieved by press- 
ure, [Puis.] Pain in occiput, with sudden t creams. * Hydro- 
cephalus in children. Sudden shrill screams. 

EYES. Inflammation of eyes, witli intolerance of light, 
and increased secretions, [Ars. Bell. *Euph. Merc] (Edema- 
tons swelling of eyelids, [Ars. Cro. t. Kali hy. — Swelling over 
upper lid, like a little bag, in morning, Kali c] 

MOUTH and THROAT. Swelling of lips, especially of 
upper. *Dry, swollen, inflamed tongue, with inability to 
swallow, [Bell. Mere.] Stinging, burning in throat, [Aeon.] 
*Red and highly-inflamed tonsils, [Aeon. *Bell. Cap.] Diph- 
theria; the pseudo-membrane assumes at once a dirty grayish color, 
[see Kali b.] Ulcerated sore throat, in scarlet fever, where 
eruption does not come out, [Bell. Merc. Mur. ac.] *Can 
bear nothing to touch the neck, [*Lach.] 

STOMACH and ABDOMEN. Vomiting, with inflamma- 
tion of stomach. * Burning heat in stomach. Violent pain 
and sensitiveness of the stomach. * Sensation in abdomen as if 
something tight would break if much effort were made to 
void a stool. *Great soreness of abdomen, [Aeon. *Bell. Merc. 
Nux.] 

STOOL. *Greenish, yellowish, slimy mucus; or yellow, 
watery, painless diarrhoea; worse in morning. Involuntary 
as though anus stood open, [*Phos.] * Hemorrhoids, with 
stinging pains, [Ars. Nit. ac. Sulph.] Prolapsus ani, [Calc. 
*Ferr. Mur. ac. *Pod.] 

URINE. Strangury. * Urine dark-colored and scanty, 



ARGENTUM NITRICTTM. 305 

[Bell. Lyc. Nit. ac— Black like coffee, Colch. Nat. m. Tereb.] 
Incontinence of urine, worse at night, and when coughing. 
Involuntary emissions of urine when coughing, sneezing, etc., 
[*Caust. Puis. Verat.] 

SEXUAL O'S. Swelling of testicles, [Aeon. *Merc.] ♦In- 
flammation, induration, swelling and dropsy of the right ovary, 
with sharp, cutting, stinging pain, [*Bell. — Left ovary swollen. 
with pressing, stitching pains, Graph. *Lach.] Miscarriage 

CHEST. Hoarseness, especially in morning, [*Caust. *Iod. 
Phos. Sulph. — In evening, Calc. c. Brom. Kali b.] Soreness in 
chest, as from a bruise, [*Arn. Kreo. Lyc. Phos.] Kapid, 
painful, spasmodic respiration, worse when lying down. Hy- 
drothorax, with a sensation as if he would not be able to 
breathe again. Cough after sleeping, [*Lach.] 

EXTREMITIES. Hands bluish and inclined to be cold. 
* Panaritium. Legs cold, [Amb. Nux. Sil. — Burning, Agar. 
Borax. Lyc.] * Swelling of feet, ankles and legs, [Bry. Calc. c. 
Merc. Puis.] 

FEVER. Pulse full and rapid — small and trembling — in- 
termitting, [see Dig.] Chilliness from least motion, [Merc. c. 
*Nux v. Rhus. Podo. — From warmth of stove, Cina. Dulc. 
Merc. Ruta.] * Intermittents ; chill about 4 P. M.; worse in a 
warm room or near stove, [chill relieved by heat, Ars. Coral, r. 
*Ign. — Increased by, Apis. Ipec] After fever paroxysm, deep 
sleep. Perspiration, alternating with dryness of skin, [Nat. c] 

SKIN. *Red spots on skin, with stinging, burning pains, 
[Dulc. Rhus. *Urt. u.] Scarlet eruptions, [Bell. Sulph.] 
iSkin white, and almost transparent, with ovarian dropsy. 
Dropsy without thirst. 

CHARACT. PECULIARITIES. *Stinging pains in affected 
parts, similar to bee-stings, [burning, stinging pains, Merc. 
Puis.] Great sensitiveness to touch, [*Acon. Agar. *Bell. 
Bry.— Strong pressure relieves, Nat. c. *Nux.] * Burning, 
stinging pains. 

Aggravation, in morning, (diarrhoea) from heat, especially 
in warm room, [better from heat, Ars. Hepar. Kali b. Rhus.] 
Wants to be in the cold air. 

Ameliorat on; cold water relieves pain, swelling, burning. 
Pressure relieves the headache, [Arg. n. Puis.] 

ARGENTUM NITEICUM. 

MIND. * Falters in speech, cannot find right word. No 
inclination to work, is melancholy, and thinks about killing 
himself. Time seems to pass very slowly, [Cham. — Very quickly, 
Cocc. Ther.] Faint feeling. 

HEAD. * Vertigo, witli buzzing in ears. Staggers when 
walking in the dark. Congestion of head, with throbbing of 
carotid arteries, [Aeon. *Bell. *Glon. Opi.] * Screwing, throb- 
bing pain in frontal protuberance, temple, or bones of face. 
Headache, with chilliness, or trembling of the body. The 
20 



306 ARGENTUM NITRICUM. 

headache is relieved by tying head up tightly, [Apis. *Puls.] 
*Head feels much enlarged, [*Cimi. Gel. *Glon. *Nux. — Too 
small, CoiF. -As if elongated. Hyp. per.] Stnsation as if bones 
of skull separated. Crawling in scalp, as from vermin. 

EYES. Itching and smarting of canthi. Conjunctiva of ball 
and lids intensely congested. * Bright-red granulations in 
lids. Lids crusty, swollen, thick. 

EARS. Dull hearing. Hinging in ears, [see Chin.] Whiz- 
zing and feeling of obstruction in ears. 

FACE. Face sunken, pale, bluish ; leaden colored. *The 
face has an old look, [*0pi.] Circumscribed red cheeks. 

MOUTH. Fetor from mouth in morning. *Tip of tongue 
red, painful, papillae prominent. Ked streak down middle of 
tongue, [Verat. v. — Dry, brown streak, Bapt.] 

THROAT. *Uvula and fauces dark red, [Aeon. Bapt. Bell.] 
Sensation as if a splinter had lodged in throat, [Hepar. Nit. ac] 

* Hawks up thick, tough mucus, [Kali c. Kobal. Lobe. Phos. 
ac. —Tasting coppery, Cimi. — Tasting greasy, As af. — *Hawking 
up lumps of phlegm, Chel. — Hard, greenish lumps, Merc. iod. — 
Soft, fetid tubercles, color of peas, *Mag. c. — Bloody mucus, 
Lye. Mag. m.] 

STOMACH. Sweetish taste, [Cup. Merc. Sulph.] Metallic 
taste, [Cocc. Merc. Plumb.] *Trresistible desire for sugar, 
[for acids, Bry. Chin. Nux.] * Belching after every meal, 
stomach as if it would burst with wind, [see Chin.] Regu- 
larly towards midnight, attacks of pain preceded by vom- 
iting slimy and bilious fluids. * After ice-cream, gastralgia, 
pain radiating in all directions, worse after food. Rumbling, 
gurgling in abdomen. Flatulent dyspepsia. 

STOOL. *Diarrhcea soon as he drinks, [Ars. Cro. t.] 
Stools green, fetid mucus, with noisy flatus at night. Green, 
brown, bloody, fetid mucus, worse after midnight. Emissions 
of much noisy flatus. 

URINE. Urine dark-red, deposits red crystals of uric acid. 

* Urine passes unconsciously and uninterruptedly. Incon- 
tinence of urine at night. 

SEXUAL O'S. Impotence in men. Organs shrivelled. 
Women. * Coition painful, followed by bleeding from vagina. 
Prolapsus, with ulceration of os or cervix uteri, [Arum. *Hydras, 
Kreo. Merc. Sep.] Menses irregular, too soon or too late, too 
copious or too scanty, but always with thick, coagulated blood. 

* Metrorrhagia at change of life. Leucorrhcea, copious, yel- 
low, corroding. 

RESPIRATORY O'S, * Chronic laryngitis of singers, rais- 
ing the voice causes cough. Rawness, soreness in larynx, [Gel. 
Phyto.] Short breathed, with deep sighs. Spasmodic 
asthma, forcing him to rise and walk about. ^Palpitation of 
heart, with nausea. Pain about heart, can hardly breathe. 

CHARACT. PECULIARITIES. ^Convulsions preceded by 
great restlessness. Periodical trembling of body. *Paralysis 
of lower half of body, from debilitating causes. Septic forms 



ARNICA MONTANA. 307 

of scarlet fever , eruption bluish-black. Sensation of expansion of 
head, face, etc. 

ARNICA MONTANA. 

MIND. Depression of spirits and absence of mind. Hy- 
pochondriacal anxiety, peevishness, [Aur. Nux. *Puls. — Gaiety, 
cheerfulness, Croc. Lach. Oxal. ac] Declines answering 
questions; [indisposed to talk, *Phos. ac. Stan. — Talks con- 
tinually, Stram.] 

HEAD. Vertigo, with nausea; better when lying down, 
[worse lying down or turning over in bed, *Con.] Heat in 
head, while body is cool, [Bry. Hyos. — Cold limbs, with hot head, 
Bell.] * Stitches in head, especially forehead and temples. 

* Headache as from a nail thrust in temple, with sweat and 
faintness. *Bad effects from concussion of brain, [*Cicu.] 

EYES. Contraction of pupils, [Cicu. Phos. — Pupils dilated, 
*Bell. Hyos. Opi. *Stram.] Eyes half closed. 

NOSE. *Frequent bleeding of nose, [Aeon. *Bell. Bry. 
— See *Phos.] Swelling of thenose, end cold. 

STOMACH. *Putrid, slimy taste, [*Merc. Nux v. Puis.] 
Aversion to meat or broth, [see Hepar.] * Eructations tasting 
like rotten eggs, [Mur ac. Sep. Sulph.] * Feeling of nauseous 
repletion after eating, [immediately after eating, abdomen is 
bloated full, [*Chin. *Lyc. Nux v. Phos.] * Vomiting 
coagulated blood, renewed by eating or drinking. Vomiting 
after drinking, [Ars. Verat.] 

STOOL. Diarrhoea, stools slimy, mucous; brown, fermented, 
[like yeant.] * Stools of mucus, blood and pus, with tenesmus, 
[Aeon. Cap. *Merc. Nux.] 

URINE. Involuntary discharges of urine at night, when 
asleep or when coughing, [see Caust.] Brown wine, brick-red 
sediment, [white sediment, Calc. c. Sep.] Bloody urine, [Ipeo. 
Millef. Nit. ao. *Uva ursi.] 

SEXUAL O'S. *Caunot walk erect on account of a sore, 
bruised feeling in uterine region. Too long and violent after- 
pains, [Bell. Puis. *Sec.] * Great soreness of parts after 
labor. Prolapsus uteri from concussion. 

RESPIRATORY O'S. Cough in children, excited by crying, 
[by laughing, talking, singing, etc., Chin. Dros. Phos.] 

* Whooping-cough ; every coughing-spell is preceded by cry- 
ing, [Tart, e.— Cries after coughing, Bell.] * Asthma, wit h in- 
clination to move about. Stitches in the left chest, with a 
short cough ; worse from motion, [see Bry.] *Soreness in 
the intercostal muscles after severe exertion, ribs feel as if 
bruised. 

EXTREMITIES. Sensation as if joints of arms and wrists 
were sprained, [Rhod. Ruta. — As if dislocated, Bry. Merc. 
Ruta.] Limbs ache as if beaten. *Gout, with great fear of being 
touched. 

FEVER. Chilliness internally, with external heat, [Ars. 



308 ARSENICUM ALBUM. 

Calc. c. Thuya. — External heat, with internal coldness, Cham. 
Ign. Nit. ac. Sulph.] Intermittent fever ; chill in morning; 
drawing-pains in bones before fever, [during chill, pain in 
back and limbs, as if bones were broken, *Eup. per.] Dry heat 
over whole body, or only in face and back. * Typhoid fev^r, 
with the greatest indifference ; putrid breath, and red, black 
or yellow spots on body ; * while speaking forgets the word, 
[falls asleep in midst of a sentence, *Bapt. — After a correct 
answer relapses into delirium and unconsciousness, *Hyos. — 
Thinks another person is in same bed, *Hydras. — See *Stram.] 
Continually changing position, the bed feels too hard, [Bapt. 
—See Rhus.] 

CHARACT. PECULIARITIES. Adapted to sanguine, ple- 
thoric persons, [Aeon. Bell. Hepar.] *Sore, aching pains, as 
if from a bruise, [Cicu. Rhus t. *Ruta.] *Bad effects from 
mechanical injuries, [Symph. of. — Punctured wounds, when 
nerves are injured and lockjaw is threatened, Hyper, p.] 
* Everything on which he lies feels too hard, [Bapt.] Heat 
in upper parts of body, while lower parts are cold. 

Amelioration, in the evening or at night ; from contact and 
motion ; even from noise. 

ARSENICUM ALBUM. 

MIND. * Great anguish, extreme restlessness, and fear of 
death, [*Acon. Bry. Rhus t. — Desires death, *Aur. *Bell. 
Creo. Sil.] Fear of being alone, [Lye. — Wants to be alone, 
*Nux v.] Delirium ; springs up from bed and hides ; 
[springs out of bed and tries to escape, *Bell. Bry.] * Cannot 
find rest anywhere, wants to go from bed to bed. 

HEAD. Periodical headache, better from application of cold 
water, [periodical nervous headache, worse from heat of bed 
and when lying down, Bell. Spig.] Throbbing in head, with 
inclination to vomit, [Bell. Sep.] *Great weight, particularly 
in forehead, [on vertex, Cact. Cann. s Kali b.] 

EYES. Inflammation of eyes, with severe burning pains, 
[stinging pains, Apis. Calc. c.] * Scrofulous ophthalmia, [Arum. 
Hepar. *Merc. sub. Sulph. — Syphilitic ophthalmia, Arg. nit. 
*Nit. ac. Phyto.] Specks or uhers on cornea, [Calc. c. *Merc. 
*Sil. Sulph.] 

HOSE. Cancer of nose, with severe burning. * Profuse 
fluent coryza, with discharge of burning, excoriating water, 
[*Arum t.— Dry coryza, Dulc. Nit. ac. *Nux v. Sep.] Can- 
not bear smell of food. 

EACE. Puffiness of face, especially around the eyes. *Pale, 
death-like color of face, with distorted features, [Canth. Chin. 
— Cold, collapsed face; pinched-up, bluish nose, *Verat. — 
Distorted, bluish face, with mouth wide open, Hyos.] Lips 
dark, dry and parched, which he constantly licks. 

MOUTH and THROAT. ^Swollen, bleeding gums. Mouth 
reddish-blue, inflamed, burning. Tough, fetid, bloody saliva, 



ARSENICUM ALBUM. 309 

[Hyos. Nit. ac. Nux. Rhus.] Tongue bluish or white; brown 
or blackish, [see Lye] Burning in throat, [*Acon. *Bell. 
Lach. Nit. ac. — Coldness in throat, Carb. v. Laur. *Verat.] 

* Angina gangrenosa, [Amm. Lach. Merc] 

STOMACH and ABDOMEN. Food has no taste, [tastes 
like straw, *Stram. — All food and drink taste bitter, *Bry. 
Colo. Puis.] * Violent thirst, drinking often, but little at a time, 
[Apis. Chin. Hyos. — Often, and much at a time, Aeon. Bell. 
Nat. m.] * Vomiting, especially after eating or drinking, 
Bry. Nux v. Puis. * Verat. — Vomiting renewed by least 
motion, *Verat. Zinc] Vomiting black bile and blood, [Hyd. 
ac. Ipec. Sec. * Verat.] Vomiting, with diarrhoea and great pros- 
tration, Jatro. Tart. e. * Verat.] * Morning vomiting of 
drunkards. ^Violent burning in stomach, [Canth. Nux v. 
*Pho3. Sec. — Great burning distress in epigastric region, 
*Iris v. *Verat. v. — Coldness in stomach, Colch. Laur. Phos.] 

* Pressure in stomach as from a ston<\ especially after 
eating, [*Bry. Merc. *Nux v. Sep.] Stomach very painful to 
touch, [Bry. Lye. *Merc. *Nux v.] * Disordered stomach 
from eating fruit, ice-cream, drinking ice-water, [Chin. *Puls. 
Nux.] Spasmodic colic, with a sensation as if intestines be- 
came twisted, [as if tied in knots, Verat. — As if squeezed 
between stones, *Colo.] * Burning in abdomen. [Lach. Phos. 
Sec. Sep.— G*/dne*t, Calc. c. Coloh/Plumb. Podo.] 

STOOL. Dark-green, mucous Rtooln, [ *Arg. n. Cro. t. *Merc. 
— White, jelly-like mucus, * Colch. *Hell.] Dark or black watery 
stools, very offensive, [Kali b. Lep. *Verat.] Corrosive, watery 
stools, [*Cham. Merc. Sulph.] Cutting pain in bowels, with 
tenesmus. Painless watery stools *Sudd>ii and rapid pros- 
tration, [Aeon. *Camph. * Verat.] * Burning in anus and 
rectum during and after stool. Worse after eating or drinking, 
[*Cro. t. Ferr. Podo. * Verat.] 

RESPIRATORY O'S. Cough, as if caused by smoke of 
sulphur, with a sense of suffocation, [Chin. Ign. — As if from 
dust in throat, Bell. — As if caused from a feather in throat, 
Am. c. Cal. c. Dros. I^n. — From tickling under sternum, 
Rhus r. Rumex. — From tickling in chest, Phos. *Rhus r. 
Stan. * Verat.] *Dry, hacking cough, with soreness of chest. 
Difficult, scanty expectoration, sometimes streaked with blood. 
*Anxio. s and oppressive shortne-s of breath, particularly 
when ascending an eminence, and at night when lying down. 
*Cannot lie down for fear of suffocation, [Aeon. Eup. per. 
Samb. Tart] Constriction of chest, with anguish, [Cact. g. 
Nux. Phos. *Sulph. — Sensation of expansion, Olean. — Of ex- 
tension, Cap.] Sensation of coldness of chest, [Carb. a. Lach. 
Ruta. Sulph.— Burning in the, Am. c. Calc. c. Merc. Spong. 
Sulph.] * Palpitation of heart, especially at night, and when 
lying on back. 

" EXTREMITIES.— A ran swollen, with black blisters, having 
a fetid smell. Burning ulcers on the tips of fingers, [burn- 
ing, itching and redness, as if frozen, *Agar, m. Carb. an.] 



310 BAPTISIA TINCTORIA. 

Legs feel so heavy, can hardly raise them, [Bell. Calc, c. 
Nit. ac. Rhus.] * Ulcers on legs, with burning, lancinating 
pains, [*Lach. *Lyc. Merc] Varices, burn like fire. 

SLEEP. * Sleeplessness, with constant tossing about, [*Acon. 
Bell. Cham.] Starting of the limbs when falling asleep, [Lye. 
Opi. Puis. Sep.], grasping at flock, [Zinc.] 

FEVER. Pulse small, frequent, intermittent. *General 
coldness, with parchment-like dryness of skin, or with profuse, 
cold, clammy perspiration. * Chilliness, particularly after 
drinking, [Cap. Chin. *Nux. Verat.] Chilliness relieved by 
external heat, [*Ign, Kali c.] Chills intermingled with 
heat, or internal coldness and external heat, [Arn. Calc. c. 
Thuj. — External coldness and internal heat, Cham. Ign. Nit. 
ac. Sulph. — Chills and heat alternating, Lach. Nux v. Phos. 
Verat.] Burning heat, as from hot water coursing through vrins, 
[Bry. Rhus.] Intermittent fever, chili every 3 p.m., [Apis. 
Chin. Nux v. Puis. *Saba.] *Blue nails and lips during 
chill. *Thirst only during hot stage, drinks often, but little 
at a time, [Apis. Chin.] During fever, great restlessness, 
pain in bones, small of back and forehead. Perspiration at 
beginning of sleep, cold, clammy, smelling sour. * Great 
weakness following paroxysm. 

SKIN. Dry, parchment-like skin. Black blisters, burning 
and painful. *Red pustules, changing to ichorous, crusty, 
burning and spreading ulcers. * Putrid ulcers, with fetid ichor 
and proud flesh, [Carb. v. *Creo. *Sil. Sulph.] * Ulcers feel 
as if burnt, [*Sec] * Ulcers discharging a thin, bloody pus, 
[Asaf. Bell. Con. Hep. — Corroding, acrid, Caust. *Merc. 
Rhus. *Sil.] * Carbuncles, which burn like fire, [Caust. Merc. 
Rhus. Sil.] Herpes, red and burning. 

CH ARACT. PECULIARITIES. * Rapid prostration of strength, 
[Aeon. *Camph. * Verat.] * Extreme restlessness, and fear 
of death, [Aeon. Bry. Rhus t.] Extreme thirst, drinking little 
and often, [Apis. Chin.] * Burning pains, [Carb. a. Carb. v. 
Phos. *Sec. — Stinging pains, *Apis. Merc. Sulph.] Wants to 
be in a warm room, [Hep. Kali b. Rhus. — In a cold room, 
Croc. *Puls. *Sec. Verat.] 

Aggravation, at night, particularly after midnight, [Bell. 
Rhus.] From cold in general ; eating cold food. 

Amelioration, from heat in general ; lying with head high ; 
warm applications relieve. 

BAPTISIA TINCTORIA. 

MIND. Confusion of ideas, [Bell. *Gel. Rhus.] Excite- 
ment of brain, especially at night. Stupor and delirium, 
especially at night, with frightful dreams. Want of power to 
think. 

HEAD. Dull, stupefying headache, [Con. Dulc. Gel. Hydras. 
—Beating, pulsating headache, *Belf. Kalm. Nat. m. *Puls.] 
Head feels too heavy, [Calc. c. Phos. ac. Rhus. Sulph.— Too 



BELLADONNA. 311 

light, *Stram. Hipp.] *Head feels as if Mattered about; she 
tries to get the pieces together, [see Stram.] 

FACE. Burning heat of face, cheeks burn. *Face dark- 
red, with a besotted expression; flushed. 

MOUTH and THROAT. Tongue feels as if it had been 
scraped, [as if scalded, Colo. Merc. Verat. v.] Tongue coated 
brown and dry, particularly in the centre, [Ars.] *Putrid 
ulceration of buccal mucous membrane, with salivation, [Merc. 
Nit. ac. Nux v.] Diphtheria, the disease assumes a putrid 
character, the ulcers dark and breath fetid, [see Kali b.] 
Oesophagus as {(constricted. 

STOOL. Very fetid, exhausting diarrhoea, excoriating. 
Stools dark, thin, fecal. * Dysentery ; stools of pure blood or 
bloody mucus. Before stool, severe colic; during and after 
stool, tenesmus, [see Merc] 

CHEST. Congestion oi lungs, with oppressed breathing; 
rising up in bed does not relieve; must go to window for 
fresh air, [Sulph. — Wants to be fanned all the time, *Carb. 
v.] Can't get a full breath ; want of power in respiratory 
organs. Constriction and oppression of chest. Pain in right 
lung. Heart seems to Jid the chest. 

EXTREMITIES. Stiffness of the joints, as if sprained, 
[*Arn. Rhod. Ruta. — As if dislocated, Bry. Merc. *Ruta.] 
The hand* fed too large, [Diad. Nitr. — Too heavy, Bry. Nitr. 
Puis.] Severe drawing-pains in the calves. Limbs tremble 
and are very weak. 

FEVER. Typhoid fever, wild delirious stupor. * While 
answering a question falls into a deep sleep, [after a correct 
answer relapses into delirium and unconsciousness, *Hyos. 
— See Am.] *Head feels as if scattered about, tries to get 
the pieces together. *Face dark-red, with a besotted ex- 
pression. * Soreness of flesh ; the bed on which he lies feels 
too hard, [*Arn. Rhus.] Scarlet fever, of a typhoid character, 
ulcerated sore throat, fetid breath, dry, sore tongue and vom- 
iting. 

CHARACT. PECULIARITIES. Pains of a pressing, drawing 
character, [Bell. Mez. *Nux. Rhus.] *A11 discharges from 
mucous surfaces have a fetid odor, [Carb. v.] Bight side most 
affected, [Bell. Iris. *Lyc. — Left side, *Lach.] Pains Worse 
from motion, relieved by rest, [Aeon. *Bry. Merc. — Better 
from motion, worse during rest, Con. Lye. *Rhus. Sep. Sulph.] 

BELLADONNA. 

MIND. Delirium, with wild manner ; he tears his clothes, 
and tries to injure himself, [wants to cut up everything, 
Verat.] * lie tries to strike, bite and injure those around him, 
[fury, with impulse to strike and kill, *Hyos. *Stram.] 
* Delirium, with frightful figures and images before eyes, 
[Opi. * Stram.] * Loquacious delirium, with desire to escape, 
[Bry. Hyos. *Stram.— Tries to hide, *Ars. Cup. Puis.] Al- 



312 BELLADONNA. 

ternate laughing and crying, [Aur. Hyos. Ign. Stram.] *He 
sings and tries to compose songs. Great irritability of all the 
senses, [Nux. Stram.] Picking at bedclothes. 

HEAD. * Vertigo, with vanishing of sight and stupefac- 
tion. Vertigo when stooping or rising from a stooping posture, 
[Bry. *Puls.] * Throbbing headache, with congestion of blood 
to head; throbbing of carotids, and great intolerance of light 
and noise, [Aeon. *Glon. Opi. — See Kali c] Pressing head- 
ache, as if a heavy weight were pressing upon forehead, 
[*Bis. Puis. Sulph. — On vertex, *Acon. Cann. Phos. *Sep.] 
Periodical, nervous headache; worse about 3 p.m , from heat and 
when lying down. * Boring pain in right side of head, (neu- 
ralgia) increased by motion. Sick headache; head feels a* if 
it would burst; worse from motion, a bright light, noise, or in a 
draught of air. Hysteric headache, [gastric sick headache, 
Ipec. *Iris. Nux. *Puls.] *Sense of great fulness in head, 
[*Acon. Bry. *Glon. Rhus. — Of emptiness, Cocc. Ign. Oxal. 
ac. Sep. — Of a lump in brain, Con. — As if everything were 
alive, Pet. Sil.] External heat and soreness of head, [burn- 
ing on the vertex, Graph. Nat. m. *Sulph. — Coldness, Calc. c. 
Sep. *Verat.] Sensation of swashing in head, [Hepar. 
*Hyos. Nux v.] *Boring head into pillow, [Apis. *Hell. 
— Rolling head, Podo. — Frequent jerking head up, * Stram.] 
Shaking the head, [Hyos.] 

EYES. *Eyes red, glistening, sparking ; wild and unsteady, 
[Hyos. Stram.] Congestion to the eyes, with bright redness 
of vessels; "one gore of blood," [Kali c. Thuya.] *Great 
intolerance of light, [Aeon. Euph. Graph. Sulph. — Desires 
light, *Stram.] ^Objects appear inverted, [appear double, 
Hyos. Stram. Thuya.] Pupils dilated, [Aeon. Hyos. *Opi. 

* Stram. — Contracted, Ars. Cicu. *Laur. Phos.] 

EARS. Inflammation of external and internal ear. Stitches 
in ear, with hardness of hearing, [Cham. Merc. Nat. m.] 

* Humming and roaring in ears, [see Chin.] Tingling in 
the ears. 

NOSE. * Bleeding of 'nose, with red face. [*Acon. — Bleeding 
of nose, when menses should appear, *Bry. Ham. *Puls.— See 
Phos.] Ulcerated nostrils. 

FACE. * Glowing redness of face, or else great paleness, 
[Aeon. Bry. — Dark-red, swollen face, Bry. *Hyos. Opi.] 

* Erysipelas, with smooth, shining skin; the redness runs in 
streaks from a centre, [vesicular erysipelas, Rhus.] Swelling of 
upper lip. Inflammatory swelling of submaxilliary glands. 

MOUTH. Dryness of mouth, without thirst, [*Apis. Lye. 
*Nuxm. — Particularly after sleeping, *Nux m.] * Tongue red, 
hot and dry, with red edges and white in middle ; papilla 
bright-red, prominent, [yellow, with red streak down middle, 
Verat. v. — Dry, black, cracked, Ars. Merc. Verat. — Clean, 
smooth, parched, dry, Kali b. Hyos. *Rhus.] * Tremor of 
tongue, stammering speech, [Ars. Lach.] Profuse ptyalism, 
[see Merc.] *Grindingof teeth, with moaning, [see Stram.] 
Soreness of inner cheeks. 



BELLADONNA. 313 

THROAT. Violent burning in throat, [Aeon. Ars. Canth. 
Lach. Merc. Nit. ac. — Coldness, Carb. v. Laur. *Verat.] 
* Inflammation of tonsils, with dark redness of the parts, [a 
similar inflammation, with burning stinging pain, Aeon. 
*Apis, Cap.] Suppuration of tonsils ; the parts are covered 
with a tenacious skinny substance, [see Kali b.] * Difficult 
deglutition; liquids swallowed return by nose, [Lach. Merc] 
Constriction of throat; it feels too narrow, [Ars. *Hyos. 
*Nux. Stram.] 

STOMACH and ABDOMEN. Putrid taste in mouth, 
[*Arn. Merc. Nux. *Puls.] Bread tastes and smells sour, 
[everything tastes bitter, *Bry. Colo. Puis.] Vomiting un- 
digested food, or mucus and l> He, [see Ipec] Cramp-like pain 
in stomach, [Chin. *Cocc. *Nux.] * Constriction of abdomen 
around umbilicus^ as if a ball would form. * Clutching in 
abdomen, as if a spot were seized with talons, [as if grasped 
with a hand, *Ipec] * Colic, with padshaped protrusion 
of transverse colon. Great tenderness and heat in abdomen ; 
cannot bear least jar. 

STOOL. Thin, green mucous stools, with griping colic, 
[*Colo. Laur. *Mag. c. Nux v. — Thick, green mucus, *Ars. 
Ipec. Merc] Dysentery, with bloody, mucous stools; griping 
colic, and tenesmus during and after stool, [Bapt. Cap. 
*Merc *Nux. Sulph.] *Griping pains in hypogastric 
region, better from holding breath and bearing down. ■ * Par- 
alysis of sphincter ani, [Aeon. Colo. *Hyos. Laur. *Phos. 
— Anus remains open, Apis. *Phos.] 

URINE. * Frequent desire to urinate. The urine be- 
comes turbid like yeast, with reddish sediment, [Con. Sep. 
— Dark urine, with white sediment, Calc c Sep.] * In- 
ability to retain urine. *Sensation of a worm in bladder, [of 
a ball, *Lach.] 

SEXUAL O'S. Orchitis, with £reat hardness of drawn- 
up testicles, [Aur. Clem. Merc. *Nux.] Ovaritis of right 
side, with great tenderness, [*Apis. — Left side, Graph. 
*Lach.] * Menses too early and too profuse, [Am. c 
*Calc c. Cimi. Nux m. *Piat. — Too late arid too scanty, 
Con. *Dulc *Phos. Sulph. — See Puis.] * Great pressing 
towards genitals, as if everything would protrude, [Nat. m. 
*Nit. ac. Plat. *Sep.] Heat and dryness of vagina, [Lye] 
Kiuidity of os uteri, [*Acon. Caul. Cimi. Gel.] 

RESPIRATORY O'S. Laryngitis and tracheitis, parts very 
painful to touch, [*Acon. Hepar. Lach. *Spong\] * Barking 
cough, pain in larynx, headache, fever, [Bros. *Nit. ac 
Rumex. *Spong. *Verbas.] *Dcy, spasmodic cough; worse 
at night and from motion, Dros. *Hyos. *Ign.] J)istressing 
dry cough, excited by a tickling in larynx, [Aeon. Ipec. Phyto. 
Phos. — Excited by creeping sensation from chest to throat, 
Nux m. — By a tickling under upper half oi sternum, *Cham. 
Plat. Rhus. *Rumex.] Pertussis, cough preceded by crying, 
[*Arn.] Breathing labored, unequal, quick, with moaning. 



314 BRYONIA ALBA. 

*Stitches in chest when coughing, or taking a deep breath, 
[*Acon. *Bry. Phos.] Palpitation of heart, reverberating in 
neck and head. 

BACK. Painful stiffness between the scapulae and in the 
nape of the neck, [Kali c. Phos. Sep.] * Back aches as if it 
would break, [as if broken, Mag. c. Graph. Phos.] Glandular 
swelling on the neck. 

EXTREMITIES. Feeling of weight in both arms, [*Mur. 
ac. Nat. m. Puis. *Stram.] * Lameness, with tearing pain in 
arms, [Bry. Rhus.] Coxalgia, with stinging pain or burning 
in hip-joint; worse at night and from least motion, [Bry. Calc. 
c. Puis. — Pulsating pain, with formation of pus, *Hep. Mur. 
ac. *Sil. Staph.] * Phlegmasia alba dolens. 

SLEEP. *Sleepy, but cannot sleep, [Apis. *Laeh. Opi. 
— Drowsiness in daytime, sleepless at night, Lye. Merc. 
*Sulph.] Drowsiness, with almost constant moaning. ^Starting 
as in fright on falling asleep, [Ars. Bry. *Nux v. — <taits 
with screaming in sleep, *Bell. *Cham. Stram. *Zinc. 
— Starting of limbs when falling asleep. Ars. Caust. *Lyc. 
Puis. — Awakens with a start, Cham. Sam. Sil. *Sulph. 
* Stram.— With a shrill shriek, Apis.] 

FEVER. Pulse frequent and full, or slow and full, [see 
Aeon.] Chilliness in evening, especially of extremities, with 
heat in head, [heat in head, while rest of body is cold, Arn. 
Bry. Hyos.] Chilliness not relieved by heat of stove, [Phos. 
Nux v.—Beverse, Ars. *Ign. Kali c.] *Chilliness as soon as 
he moves under covers, [Nux v. Puis.] ^Internal and external 
burning heat, with restlessness. Dry, burning heat, with per- 
spiration only on head. * Typhoid fever, with prominent 
cerebral symptoms. * Scarlet fever \ with smooth, shining redness 
of skin. 

SKIN. * Smooth, shining redness of skin, with bloatedness, 
[miliary rash, with efflorescence between the points of rash 
of a dark, almost livid color, *Ailanthus. Rhus t.] * Ery- 
sipelas, with smooth, shining skin, not much swelling, [see 
Rhus.] Skin so hot, it imparts a burning sensation to hand. 

CHARACT. PECULIARITIES. Eight side most affected, 
[Bapt. Canth. Iris. — Left side, Lach.] *The pains appear 
suddenly, and disappear as suddenly as they come, [reverse, 
Plat. * Stan.] Pains in joints, flying from one place to another, 
[Kali b. *Puls. Sulph.] *Spasms renewed by contact, or 
br'ght light, [Stram.] Stiffness of whole body. Pains worse 
at night, or in afternoon; sometimes from contact or least jar; 
from noise or bright light. Better wrapped up warmly in room, 
[see Ars.] 

BRYONIA ALBA. 

MIND. * Exceedingly irritable, everything makes him 
angry, [*Cham. Hep. Kali c. Lye. — Happy, cheerful, Croc. 
Lach. Sabi.] Delirium at night; talking of business. * Desire 



BRYONIA ALBA. 315 

to escape from bed, and go home, [see Bell.] Desire for 
thinns, which are refused when offered, [see Cham.] 

HEAD. Vertigo, nausea, and faintness on rising up, [Aeon. 
Puis.] *Fulness in forehead, as if everything would be 
pressed out, [*Acon. *Bell. Merc. Rhus t.— Sensation of 
emp'iness in head, *Carol. r. *Cocc. Ign. Opi. — Ofagreat/itmp 
in brain, Con. — As if everything in brain were alive. Pet. Sil.] 
* Splitting headache, [*Am. c. *Bell. Cap. Merc. Puis.] Head- 
ache worse from motion, stooping, or opening eyes; relieved by 
pressure, [Bell. Nux v. Puis.] Heat in head, with dark-red 
face, with coldness of rest of body. * Headache on waking 
in morning. 

NOSE. * Frequent bleeding of nose when menses should 
appear, [Bell. Ham. Puis.] Dry coryza, [fluent during day; 
dry at night, *Nux v.] 

FACE. Pale, hot, bloated, or red face, [Bell.— Dark-red, 
swollen face, *Hyos. Opi.] 

MOUTH. *L ps parched, dry, and cracked, [dry, parched, 
and -black, Aeon. *Ars. *Hyos. Merc] Great dryness of 
mouth, tongue and throat, [Aeon. *Ars. *Bell.] Tongue 
coated white or yellow. * Tongue rough, cracked, and often 
dark-brown. Toothache, worse from taking warm things in 
month, [Calc. c. Merc. Puis. —Better from cold water, *Bry. 
Coff. Puis.] Teeth feel elongated. 

THROAT. Sore throat, wil h difficult deglutition and hoarse- 
ness. Sticking sensation when swallowing, [as of splinters, 
Arg. n. *Hepar. Nit. ac— Feeling as if a ball of red-hot iron 
had lodged in fauces, Phyto.] Sensation of constriction in 
throat, [Ars. *Bell. *Hyos. *Nux.] Scraping in throat, [raw, 
sore, rough, as if scraped, Nux.] 

STOMACH. Abnormal hunger, must eat often. Loss of 
taste, [Anac. Hep. Lye. Nat. m.] *All food and drink taste 
bitter, [Colo. Puis. -Taste sour, *Chin. Lye. Nux. —Taste sweet, 
Mur. ac. Squill.] Putrid taste, [Arn. Merc. Nux.] *Thirst; 
takes large draughts at long intervals, [drinks often, but 
little at a time, * Ars. Apis. Chin. Hyos.] * Vomiting im- 
mediately after eating, [*Ars. Nux. Puis.] Vomiting bile and 
water, [see Ipec] Great pressure in stomach after eating, 
[Ars. Merc. Nux. Sep.] *Stomach sensitive to touch or 
pressure, [Ars. Lye. *Merc. *Nux.] 

LIVER. * Tensive, burning pains in hepatic region, which 
is swollen, sore. *Stitchc8 in liver, worse from pressure, 
coughing, breathing, [*Merc. *Nux.] 

STOOL. *Constipation; stools dry, hard, as if burnt. Stools 
too large in size, [Calc. c. Kali c. *Nux. v. — Composed of 
small, hard, black balls, Chel. *Opi. Plumb.] * Diarrhoea in hot 
weather, or from taking cold drinks when system is heated, 
[see Dulc.] Stools brown, thin, fecal, or thin, bloody ; worse 
in morning and from motion; cutting colic before stool. 

URINE. Hot urine, red, brown and scanty, deposits white 
sediment. Burning in urethra, [see Canth.J Cutting in 
urethra during micturition. 



316 BRYONIA ALBA. 

SEXUAL O'S. Menses too early, too profuse, da? k- red; 
worse from motion, [Croc. *Saba.] * During menses, tearing 
pains in legs, [Cham.] Stitching pains in ovaries on taking 
a deep inspiration; parts very sensitive to touch, [see Apis.] 
*Suppressed lochia, with splitting headache, [with fulness 
and burning in uterus, Puis.] *S?one-Hke hardness of breasts, 
which are hot, painful, but not very red, [*Phyto.] Abscess 
of mammae. 

RESPIRATORY O'S. Hoarseness, particularly in open 
air. * Cough, worse after eating or drinking, with vomiting 
food, [cough relieved by eating or drinking, Spong. — By a sup 
of cold water, * Canst. Cup], Cough, with vomiting food, 
[*Dig. *Ferr. Dros. *Rhus.] * Cough, at night in bed, 
compelling one to assume an erect posture at once, [and to hold 
head with both hands, *Niccol. — To hold chest, Nat. sul.] 
* Cough, with stitches in chest and expectoration of tenacious, 
rust-colored sputa, [*Phos. Rhus. Sang. — With bloody expec- 
toration, Bell. Merc. Nitrum.] Quick, anxious, difficult breath- 
ing, caused by stitches in chest ; aggravated by every movement, 
[Aeon. Bell. — Pneumonia (right side), with stitches in lung 
— Bell. Merc. — Left side, *Phos. Rhus.] Typhoid pneumonia. 

BACK. Painful stiffness in nape of neck [see Bell.] Burn- 
ing between the scapulae, [Lye. — Coldness, Amm. m.] Stitches 
in lumbar region. Pain in small of back. 

EXTREMITIES. Shining, red, rheumatic swelling of joints, 
with stitches and licerating in upper arms; worse from least 
motion, [Aeon. Bell. — Better from motion, Con. Lye. *Rhus. 
Sep.] *Hot, inflammatory swelling of feet, [Am. Cocc. 
*Puis.] Painful stiffness of knees. 

SLEEP. Great drowsiness in daytime, [Merc. Nux. *Phos. 
Sep.] ^Starting when falling asleep, [see Bell.] * Delirium 
as soon as he awakens. 

FEVER. Pulse full, hard, tense and quick. Chilliness, 
with a muddled condition of head, red cheeks and thirst. 
Intermittent fever ; chill predominant, thirst during cold and 
hot stages ; dry cough, with stitches in chest, [a dry, teasing 
cough just before nnd during chill, Rhus t.] *Chills begin- 
ning on lips, fingers and toes. Dry, burning heat, mostly in- 
ternal, as if blood were burning in veins, [see Ars.] Tvphod 
fever, with great irritation of nervous and vascular system. 

SKIN. Yellowness of skin, (jaundice.) *Rash of lying-in 
women and infants, [Aeon. *Chain.] Erysipelas, particularly 
of joints, [Puis.] Arthritic nodosities. 

CHARACT. PECULIARITIES. Adapted to rheumatic and 
gouty subjects. * Stitching, tearing pains; worse from least 
motion, [worse during rest and on first moving after re-t, 
Con. Lye. *Rhus t. Sep. Sulph.] * Nausea and faintness from 
sitting up. Pale-redness of inflamed parts, [bright redness, 
Aeon. Bell.] 

Aggravation, in morning ; (diarrhoea) during hot weather, 
from motion. *GetQ faint and sick on sitting up. 



CACTUS GRANDIFLORUS. 317 

Amelioration, by keeping 'perfectly still ; while lying on pain- 
ful 6ide, [Calc. c. Ign. Puis. — Worse on painful side, Ars. 
Hepar. Iod. Nux m. Sil.] Better from eating cold things. 

CACTUS GRANDIFLORUS. 

MIND. Sadness, bad humor, melancholy, [Lye. *Plat. 
Puis. — Gay, cheerful, Croc. *Lach. Oxal. ac] *Cries and 
knows not why, [rage, with weeping sadness, Puis.] 

HEAD. Pulsating pain, with a sense of weight in right 
side of head. Heavy pain, like a weight on the vertex, 
[Aloe. Cann. s. Kali b. — See Bell.] 

NOSE. Profuse bleeding from nose, [Bell. Ham. — In 
plethoric persons, Aeon. *Bell.] Fluent coryza, corroding 
nose, [Arum t. Lye. Kali b.] 

THROAT. Constriction of oesophagus, which prevents swal- 
lowing, [Alum. Bell, Hyos. Stram.] Frequent swallowing 
of saliva, [Bell.] 

STOMACH. Constriction, pulsation or heaviness in stom- 
ach, [see Puis.] *Sensation as if a rope v:ere being drawn 
tighter and tighter around her, [see Nux v. Plat.] Vomiting 
blood, [Ars. Ham. Hyos.] 

STOOL. Hard, black stools, [in balls, *Opi.] Diarrhoea 
in morning ; 6tools watery, mucous, bilious. Copious hemor- 
rhage from the anus, [see Calc. c. Cascarilla. Ham.] Sensa- 
tion of great weight in anus, [* Sepia.] Swollen, painful 
varices of the anus. 

URINARY O'S. Constriction of neck of bladder, [Clem. 
Pet.] Constant irritation in the urethra, as if he would pass 
water. Urine passes by drops, with much burning, [see Con.] 
Straw-colored urine, depositing a red. sand, [*Lyc. Sil. — 
Brown sand, Lach.] Bloody urine, [Ipec. Millef. Nit. ac. 
Sec.] 

SEXUAL O'S. Pulsating pain in uterus and ovaries, [stitch- 
ing pains, Bell. Bry.] Sensation of constriction in uterine 
region, [of heaviness, Gel.] *Very painful menstruation, 
[*Cham. Cupr. *Nux v.] 

CHEST. Feeling of constriction in chest, as if bound ; hind- 
ering respiration, [see Ars. Phos.] Difficulty of breathing; 
attacks of suffocation, cold perspiration on face, and loss of 
pulse, [Verat. al.] Acute pains and stitches in heart, [Spig. 
— See Dig.] * Constrictive sensation in heart, as though it 
were grasped by a hand of iron ; [as if squeezed together', Iod. 
Am. Kali c] Palpitaiion of heart; worse when walking, and 
at night when lying on left side, [worse when bending chest 
forward, Spig.] *Pain in heart, shooting down left arm to 
fingers. Spitting of blood, with convulsive cough, [Ipec.] 
Spasmodic cough , with copious expectoration. Pricking pains 
in chest, with oppression. 

EXTREMITIES. (Edema of the hands; worse in left. 
(Edema of feet, extending to knees, [Apis.] 



318 CALCAREA CARBONIC A. 

SLEEP. Can't sleep on account of pulsation in different 
parts of body. Delirium at night, on waking up, [see Bry.] 
{Sleepless, without cause. 

FEVER. Slight chilliness about 10 A. M. ; chattering of 
teeth. Burning heat, with shortness of breath ; headache, 
followed by perspiration. * Intermittent fever ; chill every 
day at same hour, [Saba.] 1 p. m., followed by burning heat, 
dpspnoea, pulsating pain in uterine region, no perspiration, 
and much thirst. 

CHARACT. PECULIARITIES. Sensation of constriction in 
different parts of the system. Aggravation, in forenoon ; [diar- 
rhoea] at night ; [palpitation, headache.] Lying on left side, 
[palpitation.] After eating, [weight in stomach.] 

CALCAREA CARBONICA. 

MIND. Low-spirited, inclines to weep, [Puis. Staph. Sulph.] 
Forgetfulness. * Apprehensive of some misfortune. Afraid he 
will lose his senses. Disinclined to every kind of work, [Con. 
Nit. ac. Phos.— Indisposed to talk, Dig. *Phos. ac. Stan.] 

HEAD. * Vertigo on ascending a height, [on descending, 
Ferr. — On stooping, or rising from a seat, Bry. Podo. *Puls.] 
^Throbbing headache in middle of brain, every morning, 
worse from mental exertion. Headache, with nausea, vertigo ; 
worse from mental exertion, stooping or walking in the open 
air, [see Nux.] Heat in vertex, [Graph. Nat. m. *Sulph.— 
Coldness, Sep. *Verat.] Sensation as of apiece of ice lying on 
right side of head, [on the vertex, *Verat,] * Enlargement of 
head, with open fontanels, [*Sil. Sulph.] * Perspiration in 
drops on head, when child sleeps, [see Merc. Sil.] 

EYES. Ophthalmia of infants or scrofulous subjects. Red- 
ness and swelling of lids, sticking together at night. Ulcers 
and specks on cornea, [Ars. *Merc *Sil. Sulph.] Sees things 
as through a gauze, [Caust. Kreo. Phos.] Fistula lachrymalis, 
[Nitr. ac. *Petrc] Fiery sparks before the eyes. 

EARS. Stitches or pulsations in ears, [Kali c. Nit. ac— 
Dai ting, tearing pains, Puis.] Discharge of pus from ears, 
[Lye. *Merc. Sulph.] Hardness of hearing after abuse of 
quinine, [after mercury, *Hep. Nit. ac] * Polypus of the 
ear. 

NOSE. Great dryness of nose. Sore, ulcerated nostrils, 
[with yellow, fetid discharge, Alum. Nat. c Nit. ac] ^ Stop- 
page of nose, also with yellow, fetid pus, [green, fetid dis- 
charge, Merc. Puis. Sulph.] Fetid odor in nose, [like old 
cheese or brimstone, Nux v.] Fluent coryza, with headache. 
Nasal polypi. 

FACE. Yellowness of face, [across nose, resembling a 
saddle, *Sep.— Pale, death-like, Ars. Verat. al.] Circumscribed 
redness of cheeks, [Lye Phos.] Crusta lactea, with violent 
itching; burning after washing; [thick crusts, and fetid, bloody 
ichor, Rhus t] Painful, hard swelling of submaxillary 
glands. 



CALCAREA CARBONICA. 319 

MOUTH. Dryness of tongue at night and after awaking, 
[*Nux m.] Difficult dentition, [in scrofulous children.] 
Toothache, drawing, stinging pains; aggravated by noise, cold 
drinks, after the catamenia, [better from cold water, Coif. 
Bry. Puis.] Toothache of pregnant females. Bleeding of 
the gums, | Ars.] 

THROAT. Stitches in throat when swallowing, [as if con- 
stricted, Bell. Nux.] Swelling of tonsils. Swelling and in- 
flammation of palate; uvula dark-red and covered with blis- 
ters, [with dirty^yellow coating, Merc, iod.] Stinging pain 
in throat when swallowing, [burning, Merc, v.] 

STOMACH and ABDOMEN. No appetite. * Aversion to 
anything boiled, [Puis.] Aversion to meat, [Merc. v. Puis.] 
Craves salt food and eggs, [everything tastes too salty, Sep.] 
Milk disagrees with him, [*Puls. Sulph.] Frequent eructa- 
tions, tasting of ingesta; also sour eructations, [bitter eructa- 
tions, Bell. Chin. Hyos. Nux v. — Tasting like garlic, Mosch. 
— Without taste or smell. * Hepar. Kali c. Merc] After eat- 
ing, heartburn and loud belching of wind. Sour vomiting, 
especially in children, [Hepar.] *Swelling over pit of stom- 
ach, like a saucer turned bottom up, [pud-shaped protrusion 
of transverse colon, Bell.] *Stin<?ing pain in liver when 
stooping. *Cannot bear tight clothing around waist, [*Lyc. 
Nux v.] Sensation of coldness in abdomen, [Ars. Phos.— 
Burning in, Lach. Phos. Sec. c. Sil.] En'argement of abdomen 
and mesentery glands. Incarcerated flatulence, [Chin. Carb. 
v.] *Tnguinal glands swollen, painful. 

STOOL. Constipation of hard, undigested stools, clay colored, 
[Hepar. — Black-colored, Opi. Phos. Verat. a.] Diarrho?/t; 
stools whitish, watery, smelling sour, [during dentition.] 
Involuntary, frothy stools. Pricking in rectum, ascarides. 
Violent itching of anus, [Caust. Nit. ac. Sil. Sulph.] Varices 
swollen, protruding, burning, [Caust. Nit. ac] 

URINARY O'S. Urine dark-brown and fetid, with white 
sediment, [Colch. Nit. ac] Bloody urine. * Involuntary 
emissions of urine when walking, [Nat. m. — When coughing, 
*Caust. Puis. Verat.] 

SEXUAL O'S. * Catamenia too early and too profuse, 
[*Bell. Croc. Phos.] *The least excitement causes menses to 
return. During menses vertigo, rush of blood to head, tooth- 
ache, and cold, damp feet. *Leucorrhcea, like milk, with 
burning, itching in parts, [Graph. Puis.] Stitch-like pains 
in os uteri. Itching or pressing in vagina, [burning, Sulph.] 
*Constant aching in vagina. Prolapsus uteri, [see Merc] 

RESPIRATORY O'S. Paiidess hoarseness, [painful, Bell. 
Phos.] Tickling cough, caused by a sensation of dust in 
larynx, [Bell. — As from vapor of sulphur, Ars. Chin.] Cough 
at night, while sleeping, with expectoration only during day, 
[expectoration only at night, Staph. Tart, c] Tightness in 
chest, as if full of blood, and not room to breathe, [sensation 
of emptiness, Cocc Stan.] Burning in chest, [coldness f Ars, 



320 CANNABIS SATIVA. 

Sulph.] Soreness in chest when drawing a deep breath. 
Shortness of breath when going up-stairs, [Merc] *Stitches 
in chest when moving or taking a deep breath, [Bry. Lye. 
Puis.] * Palpitation of heart at night or after eating, -with 
anguish, [aiter drinking, Con.] Secretion of milk too abun- 
dant, [Aeon. Pliyto. *TJran. -Deficiency of milk, Caust. Puis.] 

BACK. Pain in small of back, as from a bruise. [Merc. 
Nux v.] Pressing pain between scapulae, impeding respira- 
tion, [pain under lower, inner angle of right shoulder-blade, 
*Chel. m.] Curvature of dorsal vertebra, [Puis. Sil. Sulph.] 
Painful swelling of cervical glands, [Bell. Merc. Sil.] 

EXTREMITIES. Cramp in hands at night, [Nat. m.] 
Arthritic nodosities on hand and finger-joint, [Graph. Ledum.] 
Sensation of deadness in fingers, [Sep.] Hip-disease, with 
stitches and cutting in joints, [with stinging, pulsating, 
Merc, v.] Childrtn late learning to walk, [early learning, Sil. 
— Early learning to talk, Nat. m.] ^Phlegmasia alba dolens, 
[*Bell.] Burning of soles of feet, [Cham. *Sulph.] *Cold 
feet, feel as if they had on damp stockings. 

SLEEP. Tired and sleepy all day ; [sleepless at night, 
Coff. Hyos. Sulph.] Cannot sleep, ideas crowd his mind so, 
[Chin. *Nux.] Horrid visions when opening eyes from sleep, 
[when closing eyes, Bry.] 

FEVER. Pulse full, frequent or tremulous. Chilliness, 
mostly in evening ; chiVs and heat simultaneous, [Am. Ars. 
*Thuya.] Frequent flashes of heat, with anxiety and palpita- 
tion, [flashes of heat, beginning in hands, Phos.] Heat, with 
thirst, followed by chilliness. Sweats from least exertion, 
even in cold air. Perspiration in first sleep. Night-sweat, 
especially on head, neck and chest, [see Merc] 

SKIN. Unwholesome, readily ulcerating skin ; even small 
wounds suppurate and do not heal, [Graph. Hepar. Sil.] 
*Hard, white, elevated eruptions. Burning, itching herpes ; 
chopped. Deep fistulous ulcers, with red, hard, swollen 
edi^es, [see Lach.] 

CHABACT. PECULIARITIES. Persons of scrofulous habits, 
[Bary. c. Ferr. Merc. Sulph.] *Very sensitive to least cold 
air ; great liability to take cold, [Graph. Sil. Sulph.] ♦Chil- 
dren and young persons incline to grow fat [too fast, Phos. ac] 
* Great emaciation, with swollen abdomen and good appetite, 
[Iod.] * Pulsating pains, [stinging, *Apis. Merc] Internal 
chilliness, [internal heat, Ars. Cicu.] Arthritic nodosities, 
[Graph. Ledum.] 

Aggravation, in morning, evening, after midnight. In cold 
air, in wet weather and from washing, [Sil. Spig.] 

Amelioration, after breakfast, on rising, in dry weather. 
When lying on painful side, [Bry. Puis.] 

CANNABIS SATIVA. 

HEAD. Sensation as if intoxicated, [Bell. Gel. *Nux. 



CANTHARIDES. 321 

Rhus.] Sense of weight on vertex, and as if cold water were 
falling on it, [as if ice were lying on it, Verat. a.] Crawling 
sensation in scalp. 

CHEST. Asthma, can only breathe when standing up, 
[better lying down, Psor.] Difficult respiration when lying 
down. Cough dry, or with green, viscid expectoration, 
[ Carb. v. Dros. Lye] * Frequent, tearing, hard, dry cough. 
Violent palpitation of heart, [Cact. Dig. Spig. Verat. a.] 
Shocks and beats in region of heart, [Caust. Nux v. — Stitches, 
Cap. Caust. Kreo.] Sensation as if water were dropping 
from heart, [burning at heart, Opi. Puis. Verat. v.] 

URINARY O'S. Soreness in region of kidneys, [burning, 
stinging, *Canth. — Pulsative pains; urine bloody and contains 
large quantities of albumen, *Berb. Ocim. can. — Sugar in the 
urine, *TJranium.] *Strangury, with painful urging to uri- 
nate, passing only a few drops of bloody, burning urine, 
[*Canth. Nux v.] ^Burning while urinating, but especially 
after, [Canth. Cap. Nit. ac] Gonorrhoea, with discharge of 
watery mucus, [white discharge, tike cream, Cap. — Yellow 
purulent, Agnus. — Yellowish- green, Merc. — Thin, greenish, 
Thuya.] The urethra feels sore, [with bloody discharge, 
Canth.] * Dark-redness of glans and prepuce. 

GENITALS. Great swelling of prepuce, approaching phy- 
mosis, [Thuya.] * Penis fed* sore, an if burnt; hurts him to 
wilk. Painful erections. [Canth. Nit. ac. Thuya.] Sexual 
desire increased. Swelling of prostate gland, [Puis.] 

CHARACT. PECULIARITIES. Acts especially on the uri- 
niry and genital organs, [see Canth.] on the lungs, heart and 
oerebro -spinal system. Great debility after a meal, or from 
exertion ; from talking or writing. Feds as if hot water were 
poured over him. 

CANTHARIDES. 

MIND. Great restlessness. Furious delirium. * Parox- 
ysms of rage, with crying, barking, etc., renewed by touching 
larvnx or drinking water, [see Bell.] Amorous frenzy, [see 
Hyos.] 

HEAD. Stitches in back part of head, [in forepart, Dig. Sil. 
Sulph. — In top of head, Ipec. — In temples, Kali c. Lye. Sil.] 
Soieness and burning in brain. Burning in sides of head, 
ascending from the neck, [coldness on right side, Calc. c] 
Throbbing in temples, [Aeon. *Bell. — See Kali c] 

EYES. Spasmodic movements of eyes, with fiery, sparkling, 
staring look, [see Bell.] Burning and soreness in eyes. Ob*- 
jects look yellow. 

FACE. Pale, wretche;!, death-like appearance, [see Ars.] 
Bloated, red face Itching vesicles on face; burning when 
touched (erysipelas). Lockjaw, with grinding of teeth, [see 
Hyos.] 

MOUTH and THROAT. Burning in mouth, pharynx, 
21 



322 CAPSICUM ANNTJUM. 

oesophagus and stomach, [Ars, Iris. Nux v. — Coldness, Hydro, 
ac. Verat. a.] Inflammation of mouth and pharynx, [see 
Ars. Bell.] Inflammation of tonsils, with great difficulty of 
swallowing liquids, [*Bell. Hyos.] Expectoration of frothy 
saliva, streaked with blood, [see Hyos.] Vesicles in the mouth. 

STOMACH. Aver- ion to food. Burning thirst, with aver- 
sion to all fluids, [see Ars.] * Gastritis, with violent burning 
pains in stomach, [Ars. Nux. Phos,] Great sensitiveness of 
stomach, [Bry. Nux. Merc] Vomiting, with violent retching. 
Vomiting mucus and blood. *Hepatitis. 

STOOL. * Dysentery, with white or pale-reddish mucous 
stool, like scrapings of intestines, [Colon. *Colo.] Green or 
bloody mucous stools ; before stool, violent colic; during stool, 
burning at anus ; after stool, tenesmus, burning, biting, stinging at 
anus. 

URINARY O'S. Nephritis, with burning, stinging and tear- 
ing in kidneys, [Tereb. — Dragging or shooting pains along 
ureters to groin, Cann. — Cutting or tearing pulsative pains in 
region of kidneys ; worse when stooping, *Berb. v.] Pressing 
pain in kidneys, along ureters to bladder. * Constant desire to 
urinate, passing but a few drops at a time; sometimes mixed 
with blood, [*Cann. Cap. Tereb. — Urine bloody and intensely 
albuminous, *Berb.] After micturition, burning, cutting in 
urethra, [Cap. Nit. ac] *Gonorrhoea, with soreness of ure- 
thra and bloody discharge, [discharge like cream, Cap. — Yel- 
lowish-green or purulent, Merc. Thuya.] 

SEXUAL O'S. Painful erections, (in gonorrhoea). Strong 
sexual desire, [see Phos.] Menses too early and too profuse; 
black discharge, [see Puis.] 

CHARACT. PECULIARITIES. Acts especially on urinary 
and sexual organs. * Burning pains, with soreness in the 
cavities of the body. Bight side most affected, [Bapt. *Bell. 
Iris. — Left side, Lach.] Worse from drinking coffee ; better 
from lying down. 

CAPSICUM ANNTJUM. 

MIND. Sense of intoxication, [Cann. Gel.] Increased 
acuteness of the senses, [dulness of, Hell.] Peevish, easily 
offended. Homesickness. 

HEAD. Beating, throbbing headache, especially in the 
temples, [Bell.] Headache, as if the skull would burst, when 
moving the head or walking, [Bry.— Better from motion, 
Rhus t] Darting pain through the head ; worse from rest 
and better from motion. 

EYES. Burning of the eyes, with redness and lachryma- 
tion, [Ars. Phos.] Objects appear black before the eyes, [ap- 
pear red, Bell. - Yellow, Canth.] 

MOUTH and THROAT. Burning blisters in the mouth. 
Stomacace, with fetid odor from the mouth. Spasmodic con- 
traction of the throat, [Bell. Ipec] Throat inflamed, dark-red, 



CAKBO VEGETABILIS. 323 

with burning, [see Bell,] * False membrane on tonsils in 
diphtheria. Soreness, smarting, biting and burning in throat. 

STOOL. Dysentery, with bloody mucous stools ; also mucus, 
streaked with black blood. Before stool, cutting colic. After 
stool, tenesmus; thirst, drinking causing shuddering. Hem- 
orrhoidal tumors, with burning pain in amis. Bleeding piles, 
with sore feeling in anus. 

URINARY O'S. Strangury, with tenesmus of the bladder. 
Spasmodic contraction of neck of the bladder, [Cact.] Burn- 
ing while urinating, [Caust.] Discharge of blood from the 
urethra, very painful, [Canth.] 

SEXUAL O'S. Coldness of scrotum, with impotence. Atro- 
phy of testes, [swelling of, Merc] * Intense burning in ure- 
thral canal, [stitches in, Chin.] Purulent discharge from 
urethra, [Agnus*— Yellowish-green discharge, Merc. Thuya.] 

CHEST. Deep breathing, almost like a sigh, [almost im- 
perceptible, Lauro.] Pain, as if the chest were constricted, 
oppressing the breathing. Throbbing pain in the chest, 
[cramp-like pain, Nit. ac] Dry, hard cough in the evening 
and at night, with pain in distant parts, [bladder, knees, legs, 
ears, throat.] 

FEVER. Pulse irregular and often intermittent. Shud- 
dering aud chilliness in back, intermittent-; chill com- 
mences in b ck, and from thence spreads over entire body, 
[Eupa. pur.] During: chill, thirst followed by fever, with or 
without thirst. Chill worse after drinking, [Ars. Chin. Nux. 
Verat.] Sensation over body as if the parts would go to 

CHARACT. PECULIARITIES. Affects particularly the 
throat, alimentary canal and urino sreniial organs. Stiffness 
and pain in joints. Worse from eating and drinking; during 
first motion after rest, [see Rhus.] Bitter from continued 
exercise. 

CARBO VEGETABILIS. 

MOUTH and THROAT. Looseness of the teeth; gums re- 
cede from the teeth and bleed easily, [Merc] Dryness of 
mouth, without thirst, [Bell. Nux m" -With thirst, Nit, ac. 
Rhus t.] * Profuse salivation of stringy saliva. Tongue 
coated white or yellow-brown. The throat feels constricted, 
[Bell. *Hyos.] Feeling of culdness in throat, [Laur. — Burn- 
ing. Ars. Canth.] Scraping an I rawness in the throat 

STOMACH. Great hunger or thirst. Craves coffee [aver- 
sion to, Nux v.] Aversion to meat and fat things, [desire for, 
Nit. ac. Nux v.] Bitter or salty taste. Food tastes too salty, 
[Sep. — Craves salt food. Calc. c. — Craves chalk, lime, earth, 
etc., Nit. ac. — Brandy, Nux v.] *\Veak digestion, the sim- 
plest food disagrees. * Eructations of sour, rancid food. 
Great fulness after eating or drinking, [Chin. Lye. — Emptiness 
after, Sang. Sarsa. — Hunger after, Phos. Staph.] Burning, 
pressing pain in stomach, and is sore to pressure. Stitches 



324 CARBO VEGETABILI9. 

under the ribs, in region of liver. Pain in liver, as if bruised, 
[as if grasped with a hand, Lye] Can bear nothing tight 
around waist or abdomen, [*Lyc. Nux v.] *Cardialgia in 
nursing women. Incarcerated flatulence. 

STOOL. Constipation; stools hard, tough, scanty, [see 
Caust.] Diarrhoea, of thin, pale mucus. * Involuntary, ca- 
daverous-smelling stools, [last stage of acute disease.] Stools 
of foul blood and mucus. Large, blue, burning varices, 
[Mur. ac] 

SEXUAL O'S. Involuntary seminal emissions, without sen- 
sation ; [without erections, Canth. Gel. — Especially after onan- 
ism, Chin. Gel. *Phos. ac] Menses too early, too profuse ; blood 
thick, corrosive and of an acrid smell, [Am. c, Nat. s. — Too 
late, too scant, acrid, corroding the thighs, Kali o. Sars. 
*Sulph.] Morning leucorrhoea, very acrid, excoriating the 
parts, [Ars. Con. Kreo.] * Aphthae of the vulva. 

RESPIRATORY O'S. *Long-lasting hoarseness; worse 
from talking and in evening; [worse in morning, Caust. Phos. 
Loss of voice, [see Phos.] bhort, spasmodic cough, w T ith retch- 
ing, [with vomiting food, *Dig. Eerr. Rhus.] *Greenish, fetid 
expectoration, [Sil. *Stann.] Cough, with spitting blood and 
burning in chest, [with bursting headache and soreness in 
chest, Phos.] Cough, with expectoration only in morning, 
[expectoration only at night, Caust. Staph. Tart.] Cough, 
worse after eating, drinking or talking, [better after a swallow 
of cold water, *Caust. Cup.— Worse after, Dig. Sul. ac. *Ve- 
rat.] Wheezing and rattling of mucus in chest, in the bron- 
chia, [*Ipec. Tart.] Rawness and soreness in chest, [iEscul. 
Iris.] Sensation of weakness in chest. Violent burning in chest, 
Am. c. Lach. Merc. — Coldness, *Ars. Ruta. Sulph.] 

EXTREMITIES. Pain in elbow-joint, as if contused, [as if 
dislocated, Bry. Ruta.] Drawing, tearing pain in forearm and 
wrists, [see Bry.] Icy cold hands, [with blueness, Verat.] 
Lameness and heaviness of lower extremities, [Ars.] Cramps 
in legs and soles of feet, [in toes, Lyco.] 

FEVER. Pulse frequent, very feeble; collapsed, [in cholera.] 
Chilliness, mostly in evening; sometimes only on one side, 
[leftside, Caust.] Intermittent fever, with thirst only dur- 
ing chill, followed by burning heat, then sweat, [thirst before 
chill and during sweat, China.] Night-sweats. 

SKIN. Keadily bleeding ulcers, with burning pain ; putrid 
ulcers, [black-looking ulcers, with bloody pus, *Ars.] Lym- 
phatic swellings, with suppuration and burning pain. Dry, 
rash-like itch. 

CHARACT. PECULIARITIES. * Burning pains, [the parts 
burn like fire, Aeon. *Ars.] Great debility and weakness from 
least exertion. * Wants more air and to be fanned all the 
time. *Great foulness of all the secretions, [Bapt.] Bad 
effects from lo s of animal fluids, [Chin. Phos. ac] 



CAUSTICUM. 325 

CATTSTICUM. 

HEAD. Vertigo, with sensation of weakness in the head, 
[with vanishing of sight and loss of hearing, Nux v.] 
Stitches in temples, [Kali c. Lye. — In forehead, Arn. Dig. Sil. 
— In back of head, Canth. —In vertex, Ipec] * Throbbing in 
vertex. Sensation of tightness in head and of seal}), [Carb. 
an. Merc. — Sensation of looseners in the head, Nat. sul. 
Nux m.] 

EYES. Eyes feel as if sand were in them, [Euph.— Burn- 
ing, smarting, as from salt, Nux v.] Ophthalmia, with burn- 
ing, itching of eyes and lids, [Ars. — Ulceration of margins of 
lids, Sulpn.] * Cannot keep upper eyelids up; they fall 
down over eyes, [*Gel.] Sudden loss of sight, as if a film 
were before the eyes. Movements before eves, as of a swarm 
of insects, [of black motes, Aeon. Merc. Phos.] 

EARS. Buzzing and roaring in ears and head, [roaring 
and humming, Coni. Croc.] Stitches in ears, [Chin. Nit. ac. 
— Pulsations, Rhus.] 

FACE. Yellow complexion, [pale, bloated face, Ars. Calc. 
c] Neuralgia, mostly on right side, cheek-bone to temple, 
[cramp pain, with numbness on left side, Plat.] Tightness of 
jaws, with difficulty in opening mouth. Burning, itching 
eruption in face, with acrid discharge, forming crusts. 

MOUTH and THROAT. Bites inside of cheek when chew- 
ing, [the tongue, Ign.] Paralysis of tongue, with indistinct 
speech, [Hyos. — Heaviness and numbness of tongue, Kali c] 
When swallowing, pain as if a tumor were in throat, [as if a 
splinter, Arg. n.] Cracking in throat when swallowing, 
[Ign.] Sensation of something cold rising in throat, [of hot 
vapor, Merc— As of a ball, Kal. lat.] 

STOMACH and ABDOMEN. Aversion to sweet things, 
[desire for, Lye] Greasy taste. "Sensation as if lime were 
being burned in stomach. Colic, with heat in head ; chilli- 
ness over body ; better when lying down ; [colic, compelling 
one to walk about, Rhus t. -To bend double, Chin. *Colo.] 

STOOL. Constipation, hard, tough stools, covered with 
mucus, and shine like grease, [lumpy, covered with mucus, 
Hydras.] The stool is, too, small-shaped, [see *Phos.] 
Bloody stools, with soreness and burning of rectum. Large, 
piinful varices; burning when touched; increased by walk- 
ing. Fistula in cnw. 

URINARY O'S. Difficult, frequent and painful urination. 
Involuntary emissions of urine night and day ; when cough- 
ing, sneezing, [Puis. Verat.— Involuntary stools when cough- 
ing, Phos.] 

SEXUAL O'S. Menses too late, but profuse, [too early and 
profuse, Bell. Calc. c] Discharge clotted and passed only 
during day, with pain in small of back, as if bruised ; [dis- 
* charge principally at night, Am. m.] Difficult first menstrua- 
tions, [see Puis.] *Leucorrhcea at night, [Amb.] Sore, 



326 CHAMOMII.LA 

cracked nipples, surrounded by herpes, [itching and burning, 
Sulph.] Deficiency of milk, [abundance, Calc. c] 

RESPIRATORY O'S. Hoarseness aud roughness of the 
throat, in morning, [in evening, Calc. c] Loss of voice, 
[Bell. Merc. Phos.] Soreness in larynx. *Catarrh, with 
cough and rawness in throat. Asthma, especially when 
sitting or lying down, [better when lying down, Psorin. — 
Can only breathe when standing up, Cann. s.] jjry, hollow 
cough, with soreness in chest, caused by tickling and mucus 
in throat; expectoration only at night. Cough, with pain in 
hip, [Bell.] *Cough, worse in evening till midnight; relieved 
by drinking cold water. Stitches deep in chest during inspira- 
tion. Palpitation of heart; stitches about the heart, [shocks 
and beats in heart, Cann. s. *Nux v.] 

BACK. Painful stiflhess between scapulae, [soreness be- 
tween, Sil.] Pain as from a bruise in nape of neck, [as from 
a sprain, Coni.] Swelling, like goitre on throat, [with sense 
of constriction, Iodi.] 

EXTREMITIES. Dull tearing in hands and arms, [jerking 
in, Cup.] Great heaviness and weakness in arms. Tearing 
in right wrist-joint, [pain as if sprained, Arn. Calc. c. — As if 
dislocated, Bry. Ruta.] Hip joint feels as if dislocated when 
walking, [as if sprained, Mez.] Swelling of feet 

FEVER. Puke only accelerated towards evening, [fast in 
morning ; slow in evening, Ars.] Coldness frequently on left 
side. Internal chilline-s, followed by perspiration without 
h°at. Flushes of heat, followed by chilliness. 

CHARACT. PECULIARITIES. Adapted to weak, scrofulous 
persons, with yellow complexion, [see Calc. c] Glandular 
indurations, Baryt.] * Great sympathy for others. Epileptic 
spasms at night during sleep, [Calc. c. Cup.] 

CHAMOMXLLA. 

MIND. Great restlessness, and tossing about, [Ars.] Ex- 
ceedingly irritable, everything makes him angry, [Bry. Hep. 
Kali c. Lye] * Very impatient, can hardly answer one civ- 
illy. * Child very fretful, must be carried all the time to be 
quieted. * Child wants different things, which it repels when 
offered, [*Bry. Staph. — Cries if spoken to, Sil. — Cries if 
touched, Cin. Tart, e.— Can't bear to be looked at, Ant.] 

HEAD. Vertigo after lying down, [when lying down or 
turning over in bed, Coni.] Throbbing headache, mostly on 
one side, [see Puis.] Headche felt even during sleep. Head- 
ache from drinking coffee, [Nux v.] *Warm sweat about 
head. 

EYES. Burning heat in eyes, [smarting as from sand, 
Euph. Caust. — As from salt, Nux v.] Inflammation, espe- 
cially of edges of lower lids, [ulceration of, Euph. Merc ] 
Yellowness of the whites, [blood-red, Thuya.] Twitching of 
eyelids. Bleeding from eyes, [Carb. v.] 



CHAMOMILLA. 327 

EARS. * Otalgia, with stitches and tearing pains, [Merc. 
Nat. m. — Shooting pains, *Puls. — Cracking in ears, Kali c. — 
When moving jaws, Graph. Nat. m.] Swelling of parotid 
gland. 

MOUTH and THROAT. Putrid smell from the mouth. 
* Toothache, with, hot, red, swollen cheeks ; pain worse from 
drinking anything warm, especially coflee, [temporary relief 
from cold water, *Bry. Calc. c. Merc. Puis.] Dry mouth and 
tongue, with thirst, [Nit. ac. Rhus. — Without thirst, Bell. 
*Nux m.] Tongue led, cracked, [Bell. Rhus. — See Lye] 
Inflammation of soft palate and tonsils, with dark- redness, 
[*Acon. *Bell.] Sensation as of a plug in throat, [*Hepar. 
Ign. *Nux. — As of a ball of red-hot iron, Phyto. — As of a 
splinter, Arg. n. Hepar. Nit. ac] 

STOMACH and ABDOMEN. Aversion to food, [see Rhus.] 
Great thir&tfor cold water. Bitter taste in mouth in morning, 
[Puis.] * Bitter, bilious vomiting, [green, jelly -like mucus, Ipec. 
— Vomiting black bile and blood, Verat. a.— See Ipec] Colic 
after anger, [Colo.] Oppression in stomach as from a stone, 
[Ars. — Especially after eating, Nux v.] Burning in stom- 
ach, [Ars. Nux v. — Coldness in, Colch. Sulph.] Pressing 
towards the abdominal ring, as if hernia would protrude, [see 
Nux.] 

STOOL. Hot, diarrhoeic stools, smelling like bad eggs, [Psor. 
— Yellow mucus, smelling like carrion, *Podo.J *Stools 
green, watery, and slimy, or like chopped eggs and spinach, 
[green, slimy, like scum of a frog-pond, *Mag. c] Gre^n, wa'ery, 
corroding stools, with colic, [Ars. *Merc Sulph.] Dia rhoea 
during dentition, [Calc. Colo. Dulc. Merc. Podo. Sulph.] 

SEXUAL O'S. *Burning in vagina, as if excoriated, with 
yellow, smarting leucorrhoea, [Sulph.] * Dysmenorrhea, 
with labor-like pains ; discharge dark and clotted, with tearing 
pains in legs, [Aloe. Cimi.] Metrorrhagia, blood passed in 
clots and smeils putrid, [bright-red blood flowing in a gush, 
*Ipec] Violent after-pains; she can hardly endure them. 
Suppression of milk, [Puis. — Too abundant, Calc. c] Indu- 
ration of mammae, [falling awav of, *Iodi.] 

RESPIRATORY O'S. Catarrhal hoarseness. Hoarsene s 
and cough, from rattling mucus in trachea, [see Ipec] *Dry, 
tickling cough at night, (even during sleep) in children, 
[cough with stitches in the chest, back, hip, uterus, Bell. | 
Burning in chest, [Lach.— Coldness, Ars. Sulph.] Stitches in 
sides of chest, [about the heart. Caust.] Rattling mucus in 
chest, [in bronchia, Ipec. — The chest seems full of phlegm, 
*Ipec *Tart.] 

EXTREMITIES. Convulsions of arms, with clasping in of 
the thumbs, [hands closed to a fist, Stram.] Cracking of 
knee-joint during motion, [Con, Ign. — Of all the joints, Kali c] 
Cramp in the calves, [Cup. *Hyos. Nit. ac Nux.] 

SLEEP. Starts in his sleep, uttering sudden cries, [see 
Bell.] Sleepy, but cannot sleep, [Bell.] 



328 CHINA. 

FEVER. Pulse small, tense, and frequent. Chilliness and 
coldness of some parts, while others are hot. Chilliness of whole 
body, with burning hot face and breath. Heat with chills; 
one hot red cheek, the other pale, [Aeon. Nux.] Hot per- 
spiration about the head and face. 

SKIN. Eash of infants and nursing females, [Aeon.] 
*Jaun<lice. Unhealthy skin, every injury ulcerates. 

CHARACT. PECULIARITIES. * Especially suitable to 
children, [Rheum. Pallad.] * Excessive sensibility to pain, 
[Coff. — Indifference to pain, Jatro. Laur. Merc.] Great debil- 
ity as soon us pain begins. Pains are worse at night, are 
accompanied by thirst and heat. * One cheek red and hot, the 
other cold and pale, [Aeon. Mosch. Nux v. — One hand hot, 
the other cold, Dig. — One foot hot, the other cold, Lye.] 

CHINA. 

MIND. Discouragement j [Iris v. — Great cheerfulness, Croc. 
Lach.] Indifference and apathy, [Merc. *Phos. ac. — High 
spirits, Kobal.] *Indisposed to perform any kind of labor, or 
to talk. 

HEAD. Vertigo on raising the head, [*when rising fi om 
a seat, with chilliness, *Puls. J Heaviness of head, with reel- 
ing sensation, [lightness of head, *Stram.] * Pressure in head, 
from within outwards, as if it would buist, [Aeon. Bell. Bry.] 
Soreness of brain as if bruised, aggravated by contact or men- 
tal exertion. * Throbbing headache after excessive depletion, 
[after a blow or concussion, Am. Cicu.] The headache is 
worse in a draught of air, by the slightest contact, and is re- 
lieved by hard pressure, 

EYES. Redness of eyes with heat and burning. Pressure 
in eyes as from sand, [Caust. Euph. — Burning, smarting, as 
fromsalt, Nux v.] Yellowness of the whites, [blood-red, Thuya.] 
When reading, letters run together, [seem to move about, 
Cicu.] 

EARS. Ringing in ears, [Calc. c. Graph. Nux v. — Roaring 
humming, Bell. Lye. Nit. ac. — Singing, snapping, Calc. c. — 
Cracking in ears, Bary. c. Kali c. Nit. ac. — Stoppage of ears, 
which open at times with a loud report, Sili.] Stitches in 
ears, [Kali c. Nit. ac. — Pulsations in ears, Calc. c. Phos. Rhus. 
— Whizzing in ears, Phos. Rhus. Sulph.] Hardness of hearing. 

NOSE. Frequent bleeding of nose, [when menses should 
appear, Bry. Ham.] Fluent coryza, [with watery discharge, 
excoriating nostrils, Ars. *Arum t.] 

FACE. Pale face, pointed nose, sunken eyes with blue 
margins, [Ars. Verat] *Neuralgia, mostly of infraorbital 
and maxillary nerves, worse from least touch, or when lying 
down at night. 

MOUTH. Lips dry, parched and chapped, [*Bry.] Blackish 
lip*. Throbbing toothache, worse from contact and better from 
hard pressure. Ptyalism, also from" abuse of mercury. Thick, 
dirty coating of tongue. 



CHINA. 329 

STOMACH and ABDOMEN. Weak digestion. Milk de- 
ranges stomach easily, [Sulph. — Fat food, pork, ice cream, 
*Puls.] Eructations, tasting of ingesta, [Calc. c. Chin. Con. 
*Puls. ] Bitter eructations after a meal, [sour, Kali c. Nux v.] 
Vomiting sour mucus, water, food, bile, blood, [see Ipec] 

* After eating, abdomen feels full and tight, as if stuffed, [feels 
empty after eating, Sang. Sars. ] Incarcerated flatuhnce, [Carb. 
v.] Pinching colic, obliging him to bend double, [see Colo.] 
Liver swollen and painful to touch. 

STOOL. Difficult passage of faeces, even when soft, [Phos. 
ac] * Painless, very debilitating diarrhoea, stools undigested, 
[*Ars. Ferr. Podo.] Diarrhoea, stools watery, white, blackish, 
or yellow ; worse after a meal, at night. Diarrhoea after eat- 
ing fruit, [Puis.] 

URINARY O'S. Urine dark, turbid, scanty, [brown, black 
urine, Colon. Nat. m. Tereb. — Like milk, Phos. ac. — *Urine 
turns milky after standing a short time, Cina.] Stitches 
in the urethra, [burning, Cap.] 

SEXUAL O'S. * Nocturnal emissions, after onanism, very 
debilitating, [Gel. Phos. *Phos. ac. — Involuntary, without 
erections, Canth. Gel.] Sense of heaviness in genital organs 
when walking, [when standing, Sulph.] *i\Jenses profuse, 
black and clotted, [with labor-like pains, Cimi. *Cham.] 
Hemorrhage unto fainting, after miscarriage. *Leucorrhcea 
before menses, with pressure towards groin ; bloody leucor- 
rhcea. 

RESPIRATORY O'S. Cough, excited by laughing, talking, 
or drinking, [Dros. *Phos.] Cough, with expectoration of 
clear, transparent mucus, or blood-streaked mucus. Hemor- 
rhage from lungs, [after loss of much blood.] Oppression of 
chest at night, while lying down, [better lying down, Psor.] 
Inclination to take a deep breath, [like a sigh, Cap.] Stitches 
in chest, above the heart; under sternum. 

BACK. Pressure as from stone between scapulae. Pain in 
small of back at night. Stitches in the back. 

EXTREMITIES. Coldness of one hand, while other is warm, 
[Dig. Puis.] Hot swelling of riirht knee, with tearing pains, 
[painful swelling above knee, Rhus.] Arthritic swelling of 
feet. 

FEVER. Pulse small and rapid, less frequent after eating. 

* Chilliness over whole body, wor>efrom drinking; thirst be/ore 
and after chill, [thirst only during chill, Cap.] During the 
chilly stage, headache, nausea, ab-ence of thirst. During hot 
stage, dryness of mouth and lips, with burning; red face and 
headache. After heat, thirst and pi oft ise sweat * Acute fevers, 
with profuse sweat. Typhoid fever, after loss of much blood. 
Exhausting night-sweats, [Phos. Phos. ac. *Sil.] 

CHARACT. PECULIARITIES. * Patient worse every other 
day, [Amb.] * Neuralgia of a periodical character, aggra- 
vated by slightest contact, [Colo.] *Bad effects from loss of 
animal fluids, [Calc. c. Phos. ac] Least draught of air causes 



330 



CTMICIFUGA RACEMOSA. 



suffering. Pains darting, tearing ; worse at night, after a meal, 
or from contact, [vide Bell.] 

CIMICIFUGA RACEMOSA. 

MIND, Desire for solitude, [Chin. Mag. m. *Nux.] De- 
clares she will go crazy. Fear of death, thinks she will die, 
[see Aeon.] Mental depression, with suicidal tendency. 
*Very irritable, least thing makes her angry, [see Cham.] 

HEAD. * Vertigo, head feels large, and heavy, [Gel.] Dull 
frontal headache relieved by pressure. Severe pain in head 
and eyeballs, increased by slightest motion, [see Bry.] *Top 
of head feels as if it would fly off. *Head feels too large and 
throbs, [Gel. *Gloin.] 

EYES. Dark spots before eyes, dilated pupils. * Intense 
pains in eyeballs, worse moving head or eyes 

EARS. Sensitive to least noise, [Aeon. Bell. Bry.] Sing- 
ing in left, later in both ears, [see Chin.] 

FACE. Wild, fearful expression. Forehead feels cold. 
^Neuralgia affecting malar bone, pain goes off at night, re- 
appears next day. Wants to be in open air. 

MOUTH and THROAT. Breath offensive. Tongue light- 
brown, more in middle. Mouth and tongue feel hot and dry. 
Feeling of fulness in pharynx, [see Gel.] Dry spot in throat, 
causing cough. * Hawks up a viscid, coppery-tasting mucus, 
[see Arg. nit.] 

STOMACH. Vomiting a green substance; groans, raves, 
presses both hands to head for relief. Acute, darting pains 
in stomach, [cramping pains, Bell. Nux.] Sinking or " gone- 
ness'' in epigastrium, [Hydras.] 

SEXUAL O'S. * Great tenderness over uterine region, 
[Apis. Bell. Lach.] Menses too early, profuse, dark, coagulated. 
Sharp pains across abdomen, has to double up. Labor-like 
pains, [Cham. Nux m.] *Bheumatic dysmenorrhea, caus- 
ing patient to cry out and wep. Membranous dysmenorrhoea. 
Leucorrhoea, with sensation of weight in uterus. False labor- 
like pains during pregnancy. After-pains, worse in groins, 
with over sensitiveness, nausea and vomiting. Lochia sup- 
pressed by cold or emotions. 

CHEST. Pain in right side of chest, must lie quietly on 
back and press with hand. Pains from region of heart, all 
over chest and down left arm. Palpitation of heart, face 
livid, cold sweat on hands, left arm numb and as if bound to 
the side. 

BACK. Stiff neck, with pain on moving even the hands. 
* Sensitiveness of spine, especially in cervical and upper dor- 
sal regions. Head and neck retracted, (in spotted fever.) 
Severe pain in back, down thighs, and through hips. 

CHARACT. PECULIARITIES. Adapted to persons at 
"change of life," [Lach. *Puls.] Nervousness from anxiety 
or over-exertfon. * Whole body, especially arms, feel numb. 



CINA. 331 

General bruised feeling, as if sore, [Am. Bapt.] Pains come 
on suddenly, [see Bell.] Closely allied to Caulo., in uterine 
and rheumatic affections. 



CINA. 

MIND. Pitiful weeping. *Child extremely cross, must be 
carr.ed and nursed all the time, [*Cham.] Rejects every- 
thing offered it, [see Cham.] *The child will not be touched, 
[Tart, e.— see Cham.] 

EYES. * Dilatation of pupils, [contraction of, Cicu.] 
Squinting, [Bell.] When looking steadily at an object, sees 
it as through a gauze, relieved by wiping eyes, [Phos. Puis.] 

NOSE. *Constantly picking and rubbing the nose [Phos. 
ac. Selen.] Bleeding of nose, [Aeon. *Bell.] 

FACE. * Bloated, pale face, with blueness around mouth. 
Pale, cold face, with cold perspiration. 

MOUTH. ^Grinding of teeth, especially during sleep, 
[Ars. Cicu. Podo. — With foam at the mouth, Bell.] Dryness 
of mouth. *Tongue slightly coated white, with papillce raised, 
and red on the edges. 

STOMACH. Loathing of food, or canine hunger. Hunger 
soon after a full meal, [Merc. Staph.] Child refuses the 
mother's milk. Vomiting and diarrhoea after drinking, [after 
eating, Ars.] Vomiting worms, food, mucus, and bile. Pinch- 
ing pain in region of navel, from worms, [Spig.] Abdomen 
bloated and hard in children. Gnawing in stomach, [when it is 
empty, Puis.] 

STOOL. Diarrhoea, stools watery, white, [Chin. Phos. ac. 
Rhus.] Stools mixed with lumbrici. Itching of anus. 

URINARY O'S. Involuntary emissions of urine (at night). 
*The urine turns milky after standing a little while, [like 
curdled milk, Phos.] 

RESPIRATORY O'S. Short, hacking cough. Dry, sp s- 
modic cough, preceded by rigidity of body and unconscious- 
ness. Whooping-cough, violent attacks in morning, without 
expectoration ; in the evening difficult expectoration of 
white, sometimes blood-streaked mucus. Worse morning 
and evening; bette- during night. Cough excited by drink- 
ing, walking in open air, pressing on larynx, [see Lach.] 

FEVER. Chill, with a cold, pale face, and hot hand-'. 
Chill, mostly in evening, not relieved by external heat, [re- 
lieved by external heat, Ign. — Increased, Ipec] Heat, mostly 
in face and head. Sweat, generally cold, on forehead, around 
nose, and on hands. Vomiting and great hunger during 
paroxysm. Thirst, only during chill or heat. Trembling 
motion of heart. 

CHARACT. PECULIARITIES. * Especially adapted to chil- 
dren troubled with worms, [Spig.] Epileptic attacks, mostly at 
night, with screams and violent jerks of the hands and feet. 
* Restless tossing about during sleep. 



332 cocculus. 



COCCTJLTTS. 



HEAD. * Vertigo on sitting up in bed, or riding in a car- 
riage, [*when lying down or turning in bed, Coni.] Stupid 
feeling in head, as from intoxication, [Gel. Nux v.] Sensation 
of emptiness in head, [Ign. *Oxal. ac. Sep. Puis. — Fulness 
and heaviness, Bry. Rhus.] *Sick headache from riding in a 
carriage, on a boat, etc., [Bell.] Headache, worse from lying 
on back part of head; must lie on side. 
_ STOMACH and ABDOMEN. Kepugnance to food, at same 
time hunger, [aversion to meat and boiled food, Calc. c] In- 
tense thirst while eating. Nausea, with tendency to faint, 
[great drowsiness and tendency to faint, *Nux m.] *ISausea 
and vomiting when riding in a carriage, [Ars. Petro. — Better 
riding in a carriage, Nit. ac] Seasickness. * Cramp in 
stomach during and after a meal, with oppressed breathing, 
[see Nux v.] Sensation of emptiness in stomach, [*Ign. Pet. 
Sep. —Fulness, Chin. *Lyc. *Nux m.] Abdomen distended, 
and feeling as if full of sharp stones when moving, [intestines 
feel as if squeezed between stones, *Colo.] 

SEXUAL O'S. * Menstrual colic; pains spasmodic, irreg- 
ular. Dysmenorrhcea, always followed by, hemorrhoids. 
*Leucorrhoea in place of menses; so weak, can scarcely 
speak, [leucorrhoea worse during menses, lod.] Discharge of 
bloody mucus from the vagina during pregnancy. 

CHEST. Cough, as if the throat were irritated by smoke, 
with oppressed breathing, [as from smoke of sulphur, Ars. 
Chin.] Tightness and constriction in right side of chest, [in 
region of heart, Lach.] Burning in chest, extending to throat, 
[coldness, Ars.] Sensation of emptiness in chest, [Cro. tig". 
Zinc. — Of fulness, Calc. c. Ferr. Nux m.] Palpitation of 
heart. 

BACK and EXTREMITIES. Painful cracking of cervical 
vertebra, [on bending backwards, Sulph.] Pain in shoulder 
and arms, as if bruised, [in w 7 rist, as if dislocated, Bry.] The 
hands are alternately hot and cold, [heat of one and coldness 
of the other, Dig. Chin. Puis. — Heat of one foot and coldness 
of the other, Lye] Cracking of knee during motion. 

FEVER. Chilliness alternating with heat. Chill in after- 
noon and evening, principally on legs and in back, not relieved 
by heat, [relieved by heat, *Ign.] Flushes of heat, with hot^ 
cheeks and cold feet. *Typhoid fever, where there is great 
slowness of comprehension; he don't find right words to ex- 
press himself; cannot remember what has passed, and talks 
muttering, mumbling, [see Arn.] 

CKARACT. PECULIARITIES. Disposition to tremble, 
[Ign.] ^Hysterical spasms. [Ign.] Worse after eating, 
drinking and talking; from riding in a carriage, [better from 
riding iu a carriage, Nit, ac] 



COLCHICUM COLOCYNTHIS. 333 

COLCHICTJM. 

MIND. Dissatisfied with everything, [disgusted with every- 
thing, Puis.] His sufferings seem intolerable, [Cham. Coif.] 
Forgetfulness, [Arg. n. Calc. Canth.] 

HEAD. Vertigo when silting down, after walking, [vertigo 
on rising, Bry. Puis.] Sensation of constriction over eyes. 
Pulsations in the head, [Puis.] 

SOMACH. Bitter taste, [everything tastes bitter, Bry. Chin. 
Pals.] *The smell of fish, eggs, fat meats, etc., causes nausea 
even to faintne-s. Profuse secretion of saliva. Vomiting 
mucus, bile, or food, with trembling, [vomiting green, jelly- 
like mucus, or blackish substance, Ars. Ipec] Every motion 
excites or renews the vomiting, [riding in a carriage or be- 
coming cold, *Cocc] * Great coldness in the stomach, [Laur. 
Phos.— Violent burning, *Ars. Canth. Nux. Sec] Stitches in 
the stomach. 

STOOL. Extremely painful, scanty stools. Diarrhoea, with 
transparent, jelly-like, mucous stools, [Aloe. *Hell. Kali b.] * Fall 
dysentery; white mucous stools with violent tenesmus. 
* Bloody stools, mingled with a skinny substance, [stools like 
scrapings of the intestines, Brom. * Canth. *Colo.J During 
stool, sensation as if anus were being torn. Prolapsus ani, 
[with every stool, Podo.] 

URINE. Frequent micturition. * Brown, black urine, 
with whitish sediment, [Calc. c. Sep. — Urine like milk, with 
bloody, jelly-like lumps, *Phos. ac] Burning in urinary 
organs, with scantv secretion. 

CHARACT. PECULIARITIES. Great weakness, with sen- 
sation of lameness in limbs. Rheumatism in warm weather, 
[in cold or wet weather, Dulc] Tingling in different parts, 
as if frost-bitten, [itching, burning, and redness of parts as if 
frozen, *Agar\ m.] Pains increase towards evening, [Puis. — 
Diminish, Lye] 

COLOCYNTHIS. 

MIND. * Don't wish to talk or answer questions, [don't 
wish to be spoken to, Gel. Sil.J Inclines to be angry and in- 
dignant. Delirium, with open eyes and desire to escape, [see 
Opi.] Very impatient, [Cham.] 

HEAD. One-sided headache, with nausea and vomiting, 
[Con. Puis.] Pressing headache in forehead, worse when 
stooping or lying on back, [pressing headache on vertex, 
worse stooping or lying down, Lye] 

FACE. Dark-redness of the face. Nturalgia, with tearing, 
burning, and stinging pain on left side, extending to ear and 
head, [drawing pains on right side from cheek-bone to temple, 
Caust.] Cramp-like pain in left cheek-bone, extending into 
eve. The pains are worse from motion or contact, [see 
Chin.] 



334 CONIUM MACULATUM. 

STOMACH and ABDOMEN. Tongue feeU as if scalded, [Ve- 
rat. v.] Bitter taste of all food and drink, [*Bry. Puis.] 
Bitter taste after eating, [Nit. ac. — Sour, Nux v.] Vomiting, 
without nausea, [nausea, without vomiting, Ign.] *Colicand 
diarrhoea after taking least nourishment. Biuised feeling in 
bowels. * Feeling in whole abdomen as if the intestines were 
being squeezed between stones, [abdomen feels as if full of 
sharp stones, Cocc] Terrible colicky pains, causing him to bend 
double, with great restlessness and lamentation, [* violent colic, 
the abodomen drawn in to spine, Plumb.] The colic is relieved 
by bending double, external pre*sure, and coffee, [pinching in 
abdomen, relieved by bending double, Chin.— Clutching, 
griping in bowels, worse from pressure, *Bell.] *Cutting,as 
from knives, [Con. *Verat.] 

STOOL. Diarrhoea after vexation, grief; stools green, 
[diarrhoea from fright, *Gel. Opi. — From drinking impure 
water, Zing. — Limestone water, Camph.] * Dysentery-like 
diarrhoea, renewed each time after taking the least food or 
drink, [*Ars. *Crot. t. Ferr.] * Dysentery ; stools bloody, 
slimy, like scrapings, with tenesmus; relief after stool, 
[*Canth.] Bloody diarrhoea, with violent pain in bowel?, ex- 
tending down the thighs, [see Merc] Paralysis of the 
sphincter ani, [see Phos.] 

URINARY O'S. Scant emissions of urine, fetid, thick, vis- 
cid, jelly-like, [dark urine, with white sediment and putrid 
smell, Calc. c. — Urine bloody, and containing albumen. *Berb.] 
Urine of a faint flesh color, with a whitish-brown sed- 
iment. 

CHARACT. PECULIARITIES. * Complaints arising from 
indignation or grief, [irombad news, *Gel. — From fright, Opi.] 
Stiffness of joints, [stitches in the joints, Bry.] Pulsations 
through the body, [Puis. *Zinc. — In the head, Colch. Puis.] 
The extremities are contracted, [the whole body is relaxed and 
limber , Nat. c] Pains worse during rest. 

CONIUM MACULATUM. 

MIND. Depression of spirits [Lye. Plat. Puis. — Gay and 
cheerful, *Croc. Lach.] Great difficulty of recollecting things. 
* Indisposed to work, [Nit. ac. Phos. — To speak, Dig. Phos. ac] 
Inclination to start. 

HEAD. * Vertigo, particularly when lying down or turn- 
ing over in bed, [on sitting up in bed or riding in a carriage, 
Cocc. — On going upstairs, Calc. c] One-sided headache, with 
sick stomach, [see Kali c] Tearing pain in occiput and 
nape of neck. Headache, as if the head were too full and 
would burst, [Bell. Bry. Merc] Sharp, darting pain in fore- 
head. Falling off of the hair. 

EYES. Sensation of coldness in the eyes, [burning, itching, 
Ars. Caust] Yellowness of the whites, [Cham. Chin.] 
Things look red, [Bell.— Yellow, Canth. -Black, Cap.] Ob- 
struction of sight. 



CONIUM MACULATUM. 335 

EARS. Stitches in both ears, [Kali c. Nit. ac. — Pulsations 
in ears, Hepar. Phos. Rhus t. — Vide Merc] .Roaring and 
humming in ears, [see Chin.] Painful sensitiveness of hear- 
ing, [Aeon. Bell. Phos. ac. — Hardness of hearing, Ars. 
*Calc. c. Hep. *Phos.] 

FACE. Neuralgia at night, tearing pains in right side of 
face, [on left side, extending to ear and head, Colo.] Cancer 
of the lips, [with burning pain, *Ars.] Drawing pain in 
lower teeth, extending to cheek-bone. Constriction of the 
throat, [of the chest, *Cact.] 

STOMACH and ABDOMEN. Sour eructations, with burn- 
ing in stom ich. * Eructations tasting of the ingesta, [Ant. c. 
Calc. c. *Chin. *Puls.] Desire for coffee, acids, salt food, 
[see Hepar.] * Vomiting a substance like coffee-grounds, 
[see *Ipec.J Spasmodic or pinching pain in stomach, [Colo. 
Nux.] Cutting pain in abdomen as from knives, [*Colo. 
Verat.] *Stitches extending from abdomen to right side of 
client. Rumbling in the abdomen. 

STOOL. Constipation, with frequent urging without stool, 
[Anas. Lye. *Nux.] * Diarrheal, stools liquid, faecal ; mingled 
with hard lumps, [Lye. Nux v.] Watery, undigested stools, 
[Chin. *Ferr. Iris. *Podo.] During stool, he it and burning 
in the rectum ; af.er stool, weakness and trembling, [see 
Verat. a.] 

URINE. Urine thick, white and turbid, [see Phos. ac.] 
*Mueh difficulty in voiding urine, the How intermits, [passed 
in drop-;, sometimes mixed with blood, [*Canth. Nux.] Cut- 
ting pain in urethra when urinating, [burning, cutting after 
urinating, Cap. Nit. ac.] *01d men and others suffering 
from sexual excesses. 

SEXUAL O'S. Menstruation too early and too scanty, [too 
early and too profuse, *Bell. *Calc. c. — See Puis.] Catamenia, 
brownish blood. * During menses, stinging pain in uterus and 
vertigo while lying down. Lcucorrhcea of white, acrid mucus, 
burning and smarting, [Kreo. Puis.] * Prolapsus uteri, with 
induration, ulceration and leucorrhoea, [prolapsus from over- 
Ifting, *Rhus Nux.— From concussion, Arn. — From fright, 
Gel. Opi.] * Burning, sore, aching pain in region of uterus. 
Induration and swelling of ovary, [see Apis.] ^Indurations 
of mammas, very painful just before menstruation, [dwindling 
awav of .he mammae, *Iodi.] 

RESPIRATORY O'S. Dry, hacking cough at night ; worse 
while lying down, [*Hyos. *Puls.] Cough during preg- 
nancy, [cough excited by a crawling, tickling in the larynx, 
especially during pregnancy, *Nux m. Sabi. — Threatened 
miscarriage from cough, or after a fright, Aeon.] Shortness of 
breath when walking, [when going up-stairs, Ars. *Calc. c.] 

EXTREMITIES. ^Cracking in wrist -joint, [in elbow-joint, 
Kalm. — Wrist feels as if dislocated w r hen moving it, *Bry. 
Ruta.] Cracking of knee-joint when moving, [Cocc, — Crack- 
ing in left hip-joint, Cocc.j Coldness of the feet. 



336 DIGITALIS. 

FEVER. Pulse irregular ; generally slow and full. Cold- 
ness in morning and forenoon, [in afternoon and evening, 
Lye. *Puls.] Chilliness, with desire to be in sunshine. 
Heat, with great nervousness. Perspiration, particularly 
when sleeping. 

SKIN. Swelling and induration of glands, painful in even- 
ing. Blackish ulcers, with bloody, fetid, ichorous discharge, 
[see Ars. — Sticky, glutinous discharge, * Graph.] Cancerous 
ulcers, [mortifying ulcers, Ars.] Humid tetters, [Calc. Dulc. 
Graph.] 

CHARACT. PECULIARITIES. Especially adapted to the 
diseases of debility of old people. *Bad effects from sexual 
excesses, [Phos. ac] * Induration of the mammae; hard as a 
stone, [Bry. Phyto.] *Great soreness of breasts, preceding 
the menses. 

DIGITALIS. 

MIND. Desponding and fearful. Anxious about the fut- 
ure, [great fear of death and of being alone. *Ars. Lye] 
Indisposed to speak, [Phos. ac. Stan. — Wants to talk contin- 
ually, *Stram.] 

HEAD. Vertigo with trembling, [*with chilliness, Puis.] 
Stitches in forehead and temples, [in back part of head, Canth. 
— In vertex, Ipeo. — See Canth.] When stooping, sensation 
as if brain fell forward, [to left side, Nat. s.] Sudden crack- 
ing in head, with starting as in a fright. 

EYES. Throbbing in the orbits. Inflammation of the mei- 
bomian glands, [*Puls. Rhus.] Agglutination of lids in the 
morning, [Caust. Dimness of vision. * Things appear 
green or yellow, [appear red, Bell. — Black, Cap.] Various 
colors before the eyes. 

STOMACH. Sweet taste, with constant ptyalism, [vide Merc] 
Gulping up a sour or tasteless fluid, [a bitter fluid, Ign. Pet.] 
Excessive nausea, as if he would die, [Ipec. Lobe.] Not 
relieved by vomiting. Morning vomting, [Kreo. Nux v. 
Puis.] Vomiting of the ingesta, [* vomiting large quantities of 
mucus, Ipec. Tart. — Of bitter, sour fluids, Puis.] Great sense of 
weakness in stomach Frequent pressure in stomach, [as from 
a stone, Cham. Nux v.] Burning in stomach extending to 
oesophagus, [in pit of the stomach, Ars. Nux v.] Cramp in 
stomach, [Ars. Nux.] 

STOOL. Watery diarrhoea. * White or ash-colored stools, 
[Cist. Kali c] —White, chalk-like stools, [*Calc. c. *Podo.] 
Chilliness before stool, [during stool, Ars. *Merc. *Verat. — 
Afer stool, Canth.] Diarrhoea during jaundice, [Nux v.] 

URINE. Continual desire to urinate, only a few drops 
being emitted each time. Urine dark, brown, hot and burn- 
ing, with sharp cutting pains at neck of bladder. "^Inflamma- 
tion of neck of bladder, [Canth.] 

RESPIRATORY O'S. Cough, with expectoration looking 
like boiled starch; raw, sore feeling in chest. Dyspnoea 



DULCAMARA. 337 

when walking and in a recumbent position, [better when lying 
down, Iodi. Psor.] The least movement produces violent pal- 
pitation of heart, [Iodi. — Violent palpitation, particularly at 
night and when lying down, *Ars. — Better when lyin^ quiet 
on back, Iodi. — Worse when lying on left side, Cact. Lye] 
Sensation as if heart would stop beating if one moved, [*feel- 
ing as though an iron band was around the heart, preventing 
its action, Cact. g — As if squeezed together, Arn. Iodi.] Fre- 
quent stitches in heart [Caust. Ign. *Spig.— Frequent shocks 
in heart, Coni. *Nux v. -Painful jerking in heart, Fluor, ac. 
Burning in region of heart, Kali c. —Coldness in, Nat. m. —See 
Spig.] 

EXTREMITIES. Heat of one hand and coldness of the 
other, [Chin. Ipec. Puis.— One hand burning hot and pale, 
other cold and red, Mosch.- One foot cold, other ho-, Lye] 
Heaviness or paralytic weakness of left arm, [of right, Caust. — 
Of both arms, Dulc. Nat. m.] Great weakness of lower ex- 
tremities. * Dropsy of knee-joint. Swelling of feet during the 
day, diminished at night. 

FEVER. Slow and irregular pulse, [full, frequent, *Acon. 
*Bell.] The slow pulse is accelerated by slightest motion. 
Internal chilliness, with external heat, [Calc. c — External 
coldness, with internal heat, and vice versa, Ign. — See. Ars.] 
*Sudden flushes of heat, followed by great debility. 

CHARACT. PECULIARITIES. *A11 diseases "where, the 
heart is more or less involved, and there is irregular or inter- 
mittent pulse. Great nervous weakness. Dropsy of external 
and internal parts. Symptoms worse in a warm room, [*Puls. 
Sec. Verat. — Better in a warm room, *Ars. Hep. Rhus.] 

DULCAMARA. 

HEAD. *Yertigo on awaking in morning and when ris- 
ing from bed, [when rising from a sitting posture, *Puls.] 
Boring headache in forehead and temples, [on right side, 
Bell.] worse before midnight and when lying quiet; better 
when talking. Digging pain in forehead, with a sensation as 
if the bra'n were too large, [as if the head were too large, 
Arg. n. Glon. Lactu. Nux.] Stupefying pain in hack part of 
head, ascending from nape of the neck. Chilliness in hack 
pirt of head. Heariness of the head, [lightness, Hipp. 
* Strain. — Hollowness, Coral, r. Ign. Opi.] Ringwomi of the 
scalp. 

MOUTH and THROAT. Bitter taste. Dry, rough tongue. 
Paralysis of the tongue, [Bary. c *Hyos. — Paralysis of the 
oesophagus, Hyd. ac] Sore throat after takings cold, [Cham. 
*Merc] Rough scraping in throat. 

STOMACH and ABDOMEN. Vomiting white, tenacious 
mucus, [sweetish water or bilious matter, Iris v. — See Ipec] 
^Sensation of fulness in stonmch and emptiness in abdomen. 
22 



338 FERRUM. 

Colic from co'd. as if diarrhoea would set in. Dropsy cf ab- 
domen. {Swelling of the inguinal glands, [*Merc] 

STOOL. Diarrhoea from takiruj cold ; stools mucous, green, 
watery, and whitish, [from fright, *GoL Opi. — From impure 
water, Zing. — Calcareous water, *Camph.] Diarrhoea, with 
colic; stools watery, especially in summer and when the 
weather suddenly becomes cool, [diarrhoea from cold drinks in 
hot weather, *Bry.] *Diarrhcea from repelled eruptions, 
chills, or dentition. 

URINARY O'S. Urine turbid and white, [*turns milky 
soon after being passed, Cina.] Sediment at times red, at 
times white; urine fetid, [see Nit. ac.j Strangury, painful 
micturition. 

SEXUAL O'S. Eetarded flow, blood watery, thin, [see 
Puis.] Suppression of menses from cold, [Merc. *Podo. 
Sulph. — See Puis.] * Always as a forerunner of the cata- 
menia, a rash appears on skin, [previous to the menses, 
violent itching of old tettery eruptions, Carb. v. — Before and 
during the menses has a fatiguing cough, Graph.] *Lochia 
suppressed by cold or dampness, [horn fright, Opi.] Suppres- 
sion of milk from cold, [Puis.] 

CHARACT. PECULIARITIES. * Especially adapted to ca- 
tarrhal and rheumatic diseases in damp, cold weather, [dis- 
eases induced by dry, cold, west winds, Aeon. Hepar.] 
Symptoms aggravated at every cold change in weather. In- 
creased secretion of the mucous membranes and glands ; 
those of skin being suppressed. Symptoms better from mov- 
ing about, [*Rhus t. — Worse by movement, *Bry.] 

FERRUM. 

HEAD. Vertigo when descending a height, or seeing flow- 
ing water, [from ascending a height, Calc. c. — When rising 
from a seat, stooping, or looking up, Bry. Puis. — When 
turning round, Coni.] Congestion to the head, with throbbing 
headache and flushed face, [Aeon. Bell.] Pain in back part of 
head when coughing. 

FACE. Ashy-pale or greenish color of face, [pale, sickly 
appearance, as after excesses, Chin.] Pale, bloated face, 
especially around eyes. *Pale face and lips, with great de- 
bility. * Least emotion or exertion produces a red, flushed 
face. Yellow spots in face, [across nose, like a saddle, *Sep. 
Sulph.] 

STOMACH. Aversion to, and bad effects of, meat, beer, 
acids, [craves acids, Chin. Verat. — Brandy, cha'k, Nit. ac. 
Nux v. - Salt food, Calc. c.] Can neither eat nor drink any- 
thing hot, [worse from anything cold, Ars.] All food tastes 
bitter, [*Bry. Chin. Puis.] Bitter eructations after fat food, 
Vomiting food soon as it is eaten, [Ars. Bry.] Everything 
vomited tastes sour. Pressure in stomach after taking least 
food or drink, [feels full up to throat, *Lyc. — Abdomen feels 
as if stujf'ed, *Chin.] 



GELSEMIUM. 339 

STOOL. Watery diarrhoea, burning, corroding anus, [Iris v.] 
* Painless diarrhoea; stools of undigested food, [Chin. Phos. 
Phos. ao. *Podo.] Frequent diarrhoeic stools of slimy mucus 
mingled with ascarides, [*Cina. Spig. *Sulph.] Stools with 
blood and mucus. 

SEXUAL O'S. Impotence in men, [after onanism, Phos. — 
After gonorrhoea, Thuya.] Nocturnal emissions, [very debili- 
tating, Chin. *Phos. ac] Menses too frequent, too profuse, 
and lasting too long, [*Bell. Calc. c. Ign.] * Previous to the 
menses, has stinging headache, ringing in ears, and discharges 
long pieces of mucus from uterus. Uterine hemorrhage in 
weakly persons, with labor-like pains, blood partly fluid and 
partly clotted, [*Sabi.] Leucorrhcea like watery milk, smart- 
ing, corroding the parts, [Coni.] 

RESPIRATORY O'S. ^Spasmodic cough, with expectora- 
tion of tough, transparent mucus, [Chin. Sil.] Cough in 
morning, relieved by eating, [relieved by drinking, Canst. 
Spong. — Excited by eating or drinking anything cold, Hepar.] 
When coughing, stitches and soreness in chest. Cough after 
eating, with vomiting the ingesta, [Dig. Rhus t.] *Ha?mop- 
tysis, with pain between scapulae; better from walking slowly 
about, [worse from least exertion, Ipec] Fulness and tight- 
ness of the chest, [Calc. c. *Phos. Puis. *Staph. — Emptiness, 
*Cocc. Graph.] 

EXTREMITIES. Paralytic pain in left shoulder-joint, pre- 
venting motion of arm, [right shoulder, Sang.] Sticking and 
tearing in shoulder-joint. Nightly tearing and stinging from 
hip-joint to thigh, better from slow motion, [Rhus t.] Pain- 
ful cramps in the calves, while at rest. (Edematous swelling 
of the feet. 

FEVER. Pulse full and hard. Frequent short shudder- 
ings. Chilliness and want of animal heat, [Lead.] Inter- 
mittent fever (after abuse of quinine) with congestion of head, 
dis'ention of the veins, vomiting the ingesta and swelling of 
the soleen. Profuse and long-continued perspiration. 

CHARACT. PECULIARITIES. Weakly persons, with fiery- 
red face. *The least pain or emotion produces a flushed face. 
Leucophlegmatic constitution, [Calc. c] General hemorrhagic 
tendency. * Always better from walking slowly about, al- 
though he is very weak, [letter from being perfectly still, 
*Bry.] 

GELSEMIUM. 

MIND. Confusion of mind ; cannot collect his thoughts, 
[Bapt.] Great irritability, does not wish to be spoken to, 
[don't wish to speak, Dig. — Talks continually, Cicu. *Stram.] 
Liveliness, followed by depression of spirits, [Lach.] 

HEAD. Staggering, as if intoxicated. * Vertigo, as if in- 
toxicated, [Cann. s. Croc. *Nux.] Fulness in head, with 
heat in face and chilliness, [sensation of emptiness or hollow- 



340 GELSEMIUM. 

ness in the head, Coral. Ign. Oxal. ac] Pain as from a tape 
around the head, [Merc. Sulph. — Headache relieved by com- 
pression, [Cinna. *Puls.] Dull pain in occiput after break- 
fast, worse when moving and stooping. Headache, with gid- 
diness, faintness, pain in neck. Sensation as if the brain were 
bruised, [Chin. Hell.] 

EYES. * Great heaviness of eyelids, cannot keep them open, 
[Rhus. Sep. -Eyes open and staving, Laur. Stram.] Dimness 
of vision [during pregnancy.] Eyes feel bruised, [feel too 
large, Mez. Phos. ac] Pupils dilated, [Bell. Croc. — Con- 
tracted, Cicu. Phos.] Great aversion to light, [see Bell.] 

MOUTH and THROAT. Lips dry, hot, and coated. Tongue 
coated yellowish-white, with fetid breath, [Merc. pro. — Dry, 
hard, coated black, Merc, v.] Burning in mouth, extending 
to throat and stomach, [Canth. — Burning in stomach, ascend- 
ing to throat, Merc. — Coldness in throat, Carb. v. Laur.] 
Sensation as if a foreign body were lodged in throat, [see 
Hepar.] Throat feels as if filled up, [Eupa. pur. Glon. Sil.] 

STOMACH. Sour eructations, [Nit. ac. Nux v.— Bitter, 
Bell. Chin. — Without taste or smell, Hepar.] Nausea, (with 
giddiness and headache.) Sensation of emptiness in stomach, 
[Ign. Sep. — After eating, Sang. Sars. — Great fulness after eat- 
ing, Chin. *Lyc. Nux v.] 

STOOL. The soft stool is passed with difficulty, as if owing 
to contraction of sphincter ani, [from inactivity of rectum, 
Alum.] * Diarrhoza from sudden depressing emotions, fright, 
grirf, bad news, [Opi. — From anger, Cham. — Indignation, Colo.] 
Stools yellow, fecal; cream- colored; bilious. Paralysis of sphincter 
ani, [Bell. Hyos.] 

SEXUAL O'S. Involuntary emissions, with or without 
erections, followed by great debility and lowness of spirits, 
[after onanism, *Chin. *Phos. ac] Sensation of heaviness 
in uterus, [Nux v. — Of fulness, Chin.] Suppressed menstru- 
ation, with convulsions, [Cocc. Nux m. — With semi-lateral 
headache, *Puls.] * Rigidity of os uteri, [*Acon. *Caul. 
Cimi.] During pregnancy, violent pains in uterus, head- 
ache, etc. 

RESPIRATORY O'S. Spasm of glottis, threatening suffo- 
cation, [with crowing inspiration and expiration, *Chlorine. 
— With blueness office and lips, convulsions, Cup.] Bough- 
ness of throat, as if ulcerated. Sensation of constriction in 
lower part of chest, [*Cact. Puis. Verat.] Stitches in region 
of heart, [*Dig\ Caust. Ign.] Sensation as if heart would stop 
beating if she would cease walking, [see Dig.] 

FEVER. Pulse slow, accelerated by motion, [accelerated 
only towards evening, Caust. — Fast in morning, slow in even- 
ing, Ars.] * Chills begin in hands. Chilliness every day 
at same hour, especially in morning, [at 10 a.m , Nat. m., at 
4 p.m., Lye. — Every evening, same hour, *Saba.] Chill fol- 
lowed by heat, and later by perspiration. Feet cold, as if in 
ice-water, [as if they had on cold, damp stockings, Calc. c] 
Nervous chiUs, "chatters." * Fever without thirst, [Puis.] 



GRAPHITES. 341 

CHARACT. PECULIARITIES. Prostration of whole muscular 
system, [Cimi. — Of the nervous system, Phos. Verat. a.] Feel- 
ing of lightness in body from spinal exhaustion, in onanists. 

* Great depression of spirits in onanists, with excessive languor. 
Headache, worse from smoking tobacco, [relieved by smok- 
ing, Diad. ar.] *Bad effects from sudden emotions, joy, grief, 
fright, [Ign. Opi.] 

GRAPHITES. 

MIND. Great tendency to start. Want of disposition to 
work. Easily vexed ; out of humor, [exceedingly irritable, 
*Bry. Nux.] * Ailments from grief. 

HEAD. * Feeling of intoxication in head, [Bell. Nux. 
Puis.] Headache in morning on waking, mostly on one side, 
with inclination to vomit, [pressing pain in temples after 
rising, Lach.] Rheumatic pains on one side of head, extend- 
ing to teeth and neck. Burning on vertex, [Nat. m. *Sulph. 
— Coldness, Sep. *Verat.] Humid, itching eruption on hairy 
scalp, emitting a fetid odor, [Lye. *Rhus. Sulph.] 

EYES. Ophthalmia, with intolerance of light ; eyelids red 
and swollen. Dryness of the eyelids, [increased secretion in the 
eyes, Euph.] 

EARS. Dryness of inner ear, [Carb. v. Lach. — Accumula- 
tion of wax, Coni. Sil.] * Moisture and eruptions behind the 
ears, [Bary. c. Calc. c. Hepar.] Hardness of hearing, [with 
sensation as if stopped up, Calc. c. *Puls. Sulph.] Cracking 
in ears when chewing, [when not chewing, Kali c] Hiss- 
inn in the ears. Detonation in ears like report of a gun, [see 
Sil.] 

STOMACH and ABDOMEN. Nausea and vomiting after 
each meal, [after eating or drinking, Ars. Bry. Verat. a.] 

* Morning sickness during menstruatinn. Pressure in stomach, 
[as of a stone, after eating, *Ars. Bry. Merc] Burning in 
stomach, causing hunger, [sensation of emptiness in stomach, 
with hunger, *Sep.] Nauseous feeling in abdomen. Fulness 
and hardness in abdomen, as from incarcerated flatulence. 
Croaking as of frogs in abdomen, [gurgling and rumbling, 
Lye. — Sensation of something alive in abdomen, *Croc] 

STOOL. Constipation ; large, difficult, knotty stools, united 
by mucous threads, [stools of hard, black balls, *Opi. — Tn 
lumps, like sheep's dung, Chel. m. *Plumb. Ruta. — Long, 
narrow, like a dog's, *Phos.] Diarrhoea ; stools of brown fluid, 
mixed with undigested substances, very fetid. Varices of the 
rectum, [see *Carb. v.] 

SEXUAL O'S. Soreness of vagina. Painful swelling of 
left ovary, [Lach. — Of right, *Apis. *Bell.] * Menses too late, 
pale and scanty, [*Puls. Sulph.] During menses, severe tear- 
ing pain in epigastrium, [in liver, Phos. ac] Suppression of 
menses, with heaviness in arms and lower limbs, [with chilli- 
ness and pale face *Puls.] * Profuse leucorrhoea ; discharge 
white, thin, excoriating, with great weakness in back. 



342 HEPAR SULPHUR. 

RESPIRATORY (VS. Scraping in trachea and roughness of 
throat. Oppression of the chest— Asthma. Violent throbbing 
about the heart, [see Dig.] Swelling and induration of mam- 
mary glands, [Bell. Carbo a. Coni. — Dwindling of, Iod. Nit. 
ac] Soreness of nipples, having deep cracks and blisters, 
[cracked, stinging and burning, *Sulph.] 

EXTREMITIES. Pains as if sprained in joints of fingers, 
[as if dislocated, Bry. Ruta g.] Gouty nodosities on finger- 
joints, [Calc. c. Dig. Led. Staph.] Numbness and stiffness of 
thighs and toes, [Nux v.] Stiffness of knees when bending 
them, [cracking, Cocc] Herpes in bend of the knees and groins. 
* Ulcers on legs, discharging a glutinous fluid, [old ulcers, with 
burning, cutting pains, Ars. Lye] 

SKIN. Swelling and induration of glands, [Bary. c. Calc. 
c] * Rawness in bends of limbs, groins, neck, behind the 
ears, especially in children. Ulcers, with fetid pus, [Ars. 
Carl), v. Sulph.] * Eruptions, oozing out a sticky fluid, [watery 
fluid, Dulc] Humid tetters and eruptions, [Calc. c. Merc. — 
Herpes dry, scabby and scurfy, Clem. Phos. * Sulph.] * Un- 
healthy skin ; every little injury suppurates, [Calc. c. Hepar. 
Sil.] 

CHARACT. PECULIARITIES. Adapted to females inclined 
to obesity, [see Calc. c] Liability to take cold ; very sensi- 
tive to a draught of air, [Calc. Caust. Sil.] * Disposition to de- 
laying menstruation, [Puis. Sulph.] Aggravation at night, 
during and after menstruation. 

HEPAR SULPHUR. 

MIND. Great anguish in the evening, [gaiety, mirth, 
joking, Croc] The slightest cause irritates him, [he seeks a 
cause for quarrel, *Cham.] Dejected, sad, inclined to shed 
tears, [Dig. Graph.] 

HEAD. * Vertigo when riding in a carriage or shaking 
head, [Cocc] Headache when shaking the head, with ver- 
tigo. Boring pain in the right temple, [Bell. — In forehead 
and temples, Dulc Merc. Puis. — In vertex, Mag. m.] Boring 
pain in root of nose every morning. Sensation of swashing 
in head, [Hyos. Nux v. — Of looseness of brain, when walking, 
Cicu. Graph. Nux m. Rhus.— As if falling to left side, Nat. s. ] 
Humid scald head, itching and burning, [dry, scabby, easily 
bleeding, offensive, Sulph.] 

EYES. Pain in the eyes as if pulled back into the head. 
Boring pain in upper bones of the orbits. Erysipelatous in- 
flammation of the eyes; they ache from a bright light Ob- 
jects appear red, [Bell.— Blue, Stram. — Black, Cap. — Yellow, 
Canth.] *Things look too large, [*Hyos. — Too small, Plat 
Stram.] 

EARS. Scurfs on and behind the ears, [see Graph.] Dis- 
charge of fetid pus from ears, [Carb. v. Merc. Sulph. —After 
scarlet fever, *Bell. — Bloody pus, Rhus.] Whizzing and 
throbbing in ears, w r ith hardness of hearing, [see Merc] 



HEPAR SULPHUR. 343 

FACE. Vesicular erysipelas, with prickling in parts, [burn- 
ing, tingling, stinging; the vesicles containing yellow water, 
*Rhus.] * Pains in bones of face, especially when being 
touched, [Chin. Colo.] Ulcers in corners ol mouth, [Calc. c. 
Graph. Sil. — Cracks in lips and corners of mouth, Merc. Nit. 
ac] 

MOUTH and THROAT. Gums and mouth painful to touch 
and bleed readily, [gums swollen, white, bleeding, Nit. ac. Nux 
v.] Toothache worse in a warm room, and when pressing 
teeth together, [see Puis.] When swallowing, sensation as if 
a plug were in throat, [Bell. *Merc. Nux v. Phyt.] When 
swallowing, sensation as of a splinter in throat, [Arg. n. Nit. 
ac] *Roughness and scraping in throat, [Am. c. Ars.] *Qu.nsy, 
with impending suppuration, [Merc. Mur. ac. Sil.] Stitches 
in the throat, extending to the ear when swallowing. 

STOMACH and ABDOMEN. * Longing for acids, wine and 
strong-tasting food, [Bry. Chin. Nux.— For bitter things, Dig. 
Nat. m. — For chalk, lime, etc., *Nit. ac. Nux. — For fat food, 
Nit. ac—Milk, *Merc. Nux.— Salt food, *Calc. c. Carb. v.— 
Sweet things, Ipe. Lye. — For refreshing, jui<\v things, *Phos. ac. 
Verat.] Aversion to fat food, [* Hep. Pet.**Puls. — To bread, 
coflee, Lye. *Nux. — To meat, milk, Ign. Sep. Sulph. — To sweet 
things, Caust. *Graph. Nit. ac] * Frequent eructations, with- 
out taste or smell, [putrid, as from bid eggs *Arn. *Merc. 
Sep. Sulph. — Tasting of ingerta, *Chin. Con. *Puls.— Of garlic, 
Mosch.] Distention of stomach, compelling o^e to loosen ihe 
clothing, [Chin. *Lyc. *Nux.] Burning in stomach, [*Ars. 
*Nux. Puis.] Heaviness and pressure in stomach after a 
slight meal, [as from a stone, Ars. Cham. Nux v.] Stitches in 
region of liver when walking, coughing, breathing, or touch- 
ing it, [Bry. Merc. Nux v.] Swelling and suppuration of in- 
guinal glands, [Merc. Nit. ac.] 

STOOLS. Painless diarrhoea ; stools light-yellow, undigested ; 
whitish, smelling sour, [Calc. c. — See Ferr. Phos. Phos. ac. Podo.] 
Clay-colored stool, [black, Lept. Verat. — Changeable, Puis. 
Sulph.] Protrusion of varices. 

URINARY O'S. * Sharp, burning urine corroding the pre- 
puce. Burning in urethra during micturition, [see Canth.] 
*Ulceration in kidneys, [Mur. ac. Phos. Sil.] Urine dark- 
red, hot; bloody. Inflammation of orifice of urethra, with 
mucous discharge, [see Cann. s.] 

SEXUAL O'S. Men. Ulceis like chancres on prepuce, 
[with a cheesy bottom, Merc.] Womni. Menses delayed and 
too scanty, [too late, pale and scant, Graph. Puis. Sulph.] Be- 
tween menstrual periods discharge of blood. 

RESPIRATORY O'S. Hoarseness, with loss of voice, [see 
Phos.] Dry, hoarse cough, [*Bell. Merc. Nux. *Phos.] 
•Cough excited whenever any part of body gets cold, [Rhus], 
or from eating anything cold, [relieved by eating or drinking, 
Spong.] * Cmi/p, with loose, rattling cough, worse in morn- 
ing, [dry, barking, wheezing cough, with rattling breathing, 



344 HYDRASTIS CANADENSIS. 

Brom. *Sj)OTig.—Croicing inspiration, expiration almost im- 
possible, *Chlorine.] Rattling, croaking cough; suffocative 
attacks, has to rise up and bend head backwards, [see Aeon,] 
Anxious, wheezing breathing, [*Spong.] Palpitation of heart. 

EXTREMITIES. *ln early stage of whitlow, when pain is 
violent and throbbing, [Merc/ Sil.] Roughness of hands, with 
a dry, grating skin. Swelling and suppuration of axillary 
glands, [Sil.] Coxagra, with throbbing pain and disposition 
to suppurate, [afiersuppuration,Calc. Phos. Merc— Caries and 
suppuration of bones, Asa. Sil.] Swelling of ankles and feet. 

FEVER. Chilliness and heat alternating, w r ith photophobia. 
Great chilliness in open air. Intermitknt fever ; first chill, 8 
p.m., then thirst, and, an hour later, fever, with interrupted 
sleep, \_chili and heat simultaneous. Ars.] * Itching, stinging 
nettle-rash before and during chill, [itching, stinging nettle- 
rash during fever, Ign.] Cold, clammy, offensive perspiration. 

SKIN. * Unhealthy skin; every little injury suppurates, 
[Calc. c. * Graph. Sil.— Slight injuries bleed much, Phos.] 
Chapped skin, with deep cracks on hands and feet. * Ulcers, 
with bloody suppuration, smelling like old cheese, [gangre- 
nous ulcers having a,. putrid smell, Ars. Lach. — Ulcer feels as 
if burnt ; discharges a putrid fluid, Sec. c] Ulcers very sensi- 
tive to contact, burning, stinging, easily bleeding, [see Ars.] 
Jaundice, with blood-red urine. 

CHARACT. PECULIARITIES. *In diseases where suppu- 
ration is inevitable, [Mur. ac. *Sil.] Sweats day and night, 
without relief, [Merc] Cannot bear to be uncovered; wants 
to be wrapped up warmly, \_^kin cold, but wants to be uncovered, 
Camph. Sec] Sticking or pricking in affected part. Worse 
lying on painful side, [Ars. Iod. "Nux m.— Better, *Bry. Calc. c 
Puis.] Better after eating, (stomach symptoms,) [worse, Ars. 
Nux.] 

HYDRASTIS CANADENSIS. 

MIND. Forgetful. [Bell. Calc Graph. Rhus.] Cannot re- 
member what he is reading or talking about. Irritable ; dis- 
posed to be spiteful, [Nux v.] 

HEAD. Feeling as if intoxicated, [see Gel.] * Dull frontal 
headache over eyes, better from pressing with hand. Head- 
ache of a nervous, gastric character. Eczema on margin of hair 
in front, worse coming from cold into warm room ; oozes after 
washing. 

NOSE. Coryza watery, excoriating, [Ars. Arum t.] Sneezing, 
with fulness over eyes, dull frontal headache. The air feels 
cold in nose. Thick, tenacious secretion from posterior nares, 
[dropping back into pharynx, Ferr. Kali b.] Ozena, with 
bloody, purulent discharge. 

MOUTH. Peppery ta.te, [see Lach.] Tongue coated white, 
or with a yellow stripe. Tongue swollen, shows imprint of 
teeth, [Ars. Merc] Tongue feels as if scalded, [Colo. * Verat. v.] 



HYOSCYAMUS NIGER. 345 

Stomatitis after mercury or chlorate of potash, also in nursing 
women, or weakly children. 

THEOAT. * Hawking yellow, tenacious mucus from poste- 
rior nares, [see Arg. n.] Ulcers in throat. 

STOMACH. Eructations of sour fluid, [see Nux.] Vomits 
all he eats except milk and water. *Dull, aching pain in 
stomach, which causes a weak, faintish " goneness." Chronic 
gastric catarrh. Cutting in lower abdomen, extending to tes- 
ticles. 

STOOL. Diarrhoea, stools light-colored, acrid, greenish. 
* Constipation, stool lumpy, covered with mucus, [see Opi.] 
FUtula ani. Bleeding piles, exhausting. 

URINE. Dull aching in region of kidneys. Catarrh of 
bladder, with thick, ropy sediment in urine. 

SEXUAL O'S. Gonorrhoea, second stage, thick, yellow dis- 
charge; painless. Leucorrhcei, tenacious, ropy, thick, yellow. 
Pruritus vulvae, with profuse leucoirhoea. Prolapsus uteri, 
with ulceration of cervix and vagina, [see Arg. n.j 

LUNGS. Dry, harsh cough, irom ticking in larynx. 
Rawness, soreness and burning in chest. Bronchitis of old 
exhausted people, thick, yellow, tenacious, stringy sputa, 
[Kali b.] 

FEVER. Chill morning or evening. Chi llines=, especially 
in back or thighs, with aching. Heat in flushes. *Slow pulse, 
[Opi.] Gastric, bilious or typhoid forms of fever, with gas- 
tric disturbance. 

CHARACT. PECULIARITIES. Adapted to old people, 
with debility, [see Opi.] * Frequent sudden attacks of fainty 
spells, with cold sweat all over. *Faintness, "goneness" in 
stomach. Left side most affected. 

HYOSCYAMUS NIGER. 

MIND. * Mental derangement, with muttering. *Fenr of 
being poisoned. Very talkative, [talks continually, Ciou. Lach. 
*Stram.] Delirium without consciousness; does not know 
his own family. *Muttering, with picking at bed-clothes, 
[during sleep, Opi.— Grasping at flocks, Bell. Bry. Phos. ac] 
Delirium, with jerking of limbs, wild, staring look, or closed 
eyes, [silent delirium with open eyes, Opi. Stram.] *Lascivi- 
ous furor, without modesty, [Canth. Verat.] Involuntary 
loud laughter, with silly actions and trembling, [Croc. — 
Weeps and laughs alternately, Aur. Bell.] Aversion to light 
and company, [desire for, *Stram.] Loss of memory. Com- 
plete stupefaction, [Opi.] 

HEAD. Vertigo, with stupefaction, [Colli. Opi. Puis.] 
Congestion to the head, with delirium, unconsciousness, yet 
answering all questions properly. ^Congestion to the head, 
with red, sparkling eyes and purple-red face. Inflammation 
of brain, with tingling, and violent pulsations in bead like 
waves, [violent pulsations of carotids and throbbing headache, 



346 HYOSCYAMUS NIGER. 

Bell. Glon.] The brain feels as if it were loose, [Bry. Nat. 
sul. Nux m.] Hydrocephalus, with stupor and sensation of 
swashing in head, hands closed, with clinched thumbs, T«ee 
Hell.] 

EYES. Red, sparkling, staring eyes, [Bell.] Spasmodic 
closing of lids; inability to keep them open, [see Gel.] 
Pupils dilated, [*Bell. Opi. —Contracted, Cicu. Phos.] *Ob- 
jects appear red, too large, or double. 

MOUTH and THROAT. Foam at mouth, [bloody, Stram.J 
Lips look like scorched leather, [dry, parched and cracked, 
Bry. Stram.] Clean, parched, dry tongue, [red and cracked, 
Bell. Rhus.] ^Constriction of throat, with inability to swal- 
low, especially fluids, [Bell. Laur. Stram. — Sensation of ex- 
pansion of throat, Hypericum.] 

STOMACH. *Dread of drink, [Bell. Canth.] Great thirst, 
but drinks very little, [drinks little and often, Apis. Ars. 
Chin.] Eating produces vomiting, [vomits after eating or drink- 
ing, Ars. Ipe. Verat. — Comp. Ipe.] * Vomiting of blood and 
and bloody mucus. Colic relieved by vomiting, [relieved by 
eating, Hepar.] 

STOOL. Painless diarrhoea ; stools, yellow, watery, [Chin. 
Hep.] Involuntary stools in bed, without being conscious of 
it, [Carb. v. Rhus.* Sec] * Diarrhoea during typhoid fever, 
and during lying-in. 

URINE. Involuntary micturition, as from paralysis of blad- 
der, [Ars. Bell. *Puls ] Suppression of urine. 

RESPIRATORY O'S. Dry spasmodic cough, [old persons,] 
with tickling in throat ; worse at night, when at rest, during 
sleep, in cold air, after eating and drinking, [better by eating 
or drinking, Spong.] *The cough is relieved by sitting up, 
[Puis.— Worse from sitting up, Kali c. *Zinc. — Better by a 
swallow of water, Cup. Caust.] Violent, spasmodic cough, 
with expectoration during day of saltish -tasting mucus, or 
bright-red blood, mixed with clots. Slow, rattling breathing. 

SLEEP. Deep sleep, with convulsions, [with stertorous 
breathing, *Opi.] Starting from sleep, [when closing the 
eyes, Bell.] Nightly sleeplessness, [see Opi.] 

FEVER. Pulse accelerated, full, hard. Chilliness over 
whole body, with hot face and cold hands. In evening, great 
heat over whole body. * Typhoid fever, with low, muttering 
delirium ; subsultus tendinum ; picking at bed-clothes ; involun- 
tary discharges of fseces and urine, and desire to escape, [see 
Opi.] * After a correct answer, relapses into delirium and 
unconsciousness, [see Arn.] Debilitating perspiration during 
sleep, [Chin. Merc] 

CHARACT. PECULIARITIES. Adapted to hysterical sub- 
jects and to drunkards, [*Nux v. Stram.] Things look too 
large, [too small, Plat. Stram.] *Spasms, with twitching and 
jerking of every muscle of body, eyes, eyelids and face. 
Epileptic attacks, ending in deep, heavy sleep. * Spasmodic, 
dry cough, always worse when lying down, relieved by sitting 



IGNATIA AMARA. 347 

up, [Puis.] *Desire to uncover and remain naked, [skin 
cold as ice, yet lie must be uncovered, *Camph. *Sec] Sub- 
sultus tendinum. Bad effects from jealousy and unhappy 
love. Worse in evening; after eating and d linking, [see 
Ars.] Better from stooping [head, and breathing.] 

IGNATIA AMARA. 

MIND. *Full of suppressed grief, [Phos. ac. Puis. — Gay 
and cheerful, Croc. Lach.] Great indifference to everything, 
[*Phos. ac. Lach. Merc] Avoids talking, [Con. Bell. Phos. 
ac. — * Wants to talk continually, Stram.] Changeable dis- 
position, jesting, laughing and crying, [sings involuntarily 
and then laughs, Croc] 

HEAD. Sensation of hollowness in head, [see Opi.] Heavi- 
ness of head, [lightness, * Stram.] Headache, increased by stoop- 
ing, [relieved by stooping, Hyos.] Tearing pain in forehead, 
relieved by lying on back. *Sensation as if a nail were driven 
out through side of head, relieved by lying on it, [see Nux v.] 
Cramp-like pain over root of nose, [boring pain in upp^r bones 
of orbit, Bell. Hep.] Beating headache in occiput ; worse from 
smoking or smelling tobacco-smoke, [relieved by smoking, 
Diad. ar.] 

EYES. Sensation as if grains of sand were under upper 
lids, [Carb. v. Caust. Euph. — Smarting as from halt, Nux v.] 
*Cannot bear the glare of light, [aversion to or desire for 
light, Aeon. Bell.] Flickering zigzags before the eyes, 
[Nat. m.] 

MOUTH and THROAT. Boring j ain in front teeth; worse 
after d inking coffee or smoking, [see Nux v.] ^Toothache, 
as if the tooth were crashed in pieces, [as if burst, Sabi.] In- 
creased secretion of saliva; foam at mouth. Stitches in throat 
when not swallowing, [when S" allowing, Hep.] Stitches in 
tli roar, extending to ear, [Hepar.] Sensation as of a lump in 
throat, when not ■swallowing, [Cham. Nux v. — When swallow- 
ing, Bell. Hepar. Merc] 

STOMACH. Teste flat, like chalk, [Nux m.] Food has no 
taste, [all food tastes like straw, *Stram.] Aversion to uxmn 
food, meat and tobocco, [see Hep.] Gulping up of a bitter fluid, 
[Bry. Nux v. Puis.— Soar eru tations Nit. ac. Phos. Sulph. 
ac —Of sweetish water, Merc. Plumb.] * Weak, empy fuel- 
ing at pit of stomach, not relieved by eating, [Mur. ac. *Sep. 
— Oonefeelinq in stomach, *Hydras.— *Sudden feeing of ful- 
ness after taking a small quantity of food, Chin. *Lyc. Nux. 
Phos. Sulph. — Feels empty after eating, Sang. Sars.] Spis- 
modic pains in stomach. Fine, sti'igiivf ptins, like pins stick- 
ing in stomach, [Rhus.] Throbbing in abdomen, [Aloe. Sang.] 

STOOL. Difficult stool, causing prohrpsm am, [see Podo.] 
* After stool, a violent stabbing stitch from anus upwards into 
rectum, [Mez.] Bleeding after and during stool. *Hemor- 
rhoids; the tumors prolapse with every stool ; they are sore, 



348 IPECACUANHA. 

as if excoriated ; pain and bleeding worse when the stool is 
loose. 

SEXUAL O'S. * Menses scanty, black, of putrid odor, 
[Puis. — Delayed, scarify, pale, Graph.] During menses, great 
languor, even to fainting, with spasmodic pains in stomach 
and abdomen, [Cham. Cocc .Nux v.] * Uterine cramps, with 
cutting stitches. [Cocc] 

RESPIRATORY O'S. Constrictive sensation in throat, ex- 
citing cough, as from vapor of sulphur, [Ars. Chin.] Dry, 
spasmodic cough, day and night, with fluent coryza. Stitches 
in left side, [Phos. — In the right side, Bell.] Oppression of 
chest at niyht. * Palpitation of and stitches in heart, [Dig. 
Spig.] 

EXTREMITIES. Pain in shoulder-joint, as if dislocated, 
on moving arm, [Bry. Ruta.] When rising, stiffness in knees 
and tarsal bones. Cracking in knees when moving them, 
[Coni. — Cracking in all the joints, Kali b.] Heaviness of 
feet. 

SLEEP. Restless sleep, with nightmare, [Puis. Sulph.] 
Moaning and gioaning while asleep. Sudden startings of 
limbs when falling asleep. 

FEVER. Chill relieved by external heat, [Ars. Kali c — 
Not relieved by external heat, Bell. Phos. Nux.] External 
coldness, with internal heat, and vice versa. Intermittent fever. 
During fever, violent itching; nettle-rash over whole body. 
Burning heat of face, only on one side, [see Cham.] 

CHARACT. PECULIARITIES. Adapted to excitable, sensi- 
tive, hysterical individuals. * Convulsive tvvitchings, especially 
after fright or grief, [Gel. Opi.] * Hysterical spasms. Pains 
are relieved by a change of position, [*Rhus.] Pains as from 
a sprain, [*Arn. Bry. *Ruta.] 

IPECACUANHA. 

HEAD. Vertigo, when walking and when turning round, 
[*when turning over in bed, Coni.] * Headache, as if bruised 
all through bones of head, and down into root of tongue, with 
nausea and vomiting. One-sided headache, with nausea and 
vomiting, [see Kali c] 

FACE. Pale face, with blue margins around the eyes, [Ars. 
Chin. Cina. — Yelloiv margins, Spig.] 

MOUTH and THROAT. Flat taste, with white, thickly-coated 
tongue, [Ant. c. Nux v. — Dirty-yellow or black tongue, Chin. 
Merc. J Spasmodic, constrictive sensation in throat, [*Bell. 
*Hyos.] 

STOMACH. Aversion to food ; craves dainties and sweet 
things, [see Hepar.] Constant and continual nausea, [Phos. 
*Tart. e. *Verat.] Vomiting the ingesta, [*Bry. *Nux. 
Puis.] Vomiting bilious bitter fluids, [Cham. Merc. Phos. 
Verat— A sweetish fluid, Iris. Kreo, — A sour mucus, Nux. *Phos. 
*Puls. Sulph.] Vomiting gieen, jelly-like mucus, [Merc. sub. 



KALI BICHROMICUM. 349 

Verat. — A pinkish, glairy fluid, Kali b. — A watery, albumin- 
ous substance, Jatro. c] Vomiting blood, [Bry. Ham. Hyos. 
Nax.J Vomiting black, pitch-like substance, [*Ars. Sec. 
* Verat. — Faeces and urine, *Opi. Plumb.] Vomiting when 
stooping, [Alum. Rhus t. — From motion of a carriage, boat, 
etc., Ar3. *Cocc. Pet. —After eating, *Ars. Bry. Nux. Puis. — 
After drinking, *Ars. *Bry. Crot. t. * Verat.] Great sense of 
emptiness and relaxation in stomach, [Ign. Mur. ac. Sep. — 
Great fulness, *Chin. *Lyc. Nux. Phos.] ^Horrible pain and 
sick feeling in stomach. Cutting, pinching around umbilicus, 
as if grasped with a hand; worse from motion, [see Bell.] 

STOOL. Diarrhoea; * stools as if fermented, [Rheum. Saba. 
— Like yeast, Am.] Stools green as grass, [dark -green mucus, 
Merc. — Green, slimy, like scum on a frog-pond, *Mag. car.] 
Dysenteric stools, with tenesmus. Bloody stools, with cutting, 
burning at anus, [see Merc] 

URINE. * Bloody urine, [Caot. *Millef. Nit. ac] Turbid 
urine, with brick-dust sediment, [Bell. Phos. —Redd.sh urine, 
with brick-dust sediment, Nux v. — Dark urine, with brick- 
dust sediment, Chin.] 

SEXUAL O'S. Menstruation too early and too profuse, 
[Bell. Calc 0. Sabi.] * Metrorrhagia; blood bright-red, pio- 
fuse, clotted, with oppressed breathing. 

RESPIRATORY O'S. * Rattling in bronchial tubes when 
breathing. *The chest seems full of phlegm, but does not yield 
to coughing [*Tart. e.] *Suffocative cough, occasioned by a 
contractive tickling in throat, sometime- vomiting phlegm, 
[vomiting large' quantities of mucus, *Tart. em.] 'Suffoca- 
tion threatens from constriction in throat and chest, [asthma ] 
Suffocative cough; child becomes qiite stiff and blue in fa ;e, 
[Coral r.] * Haemoptysis from slightest exertion, [better 
from walking slowly about, *Ferr.] 

FEVER. Chilliness, but is unable to bear the least heat, 
[better from external heat, Ars. *Ign. Kali c] About 4 p. M. 
sudden attack of hea f ; no thirst. *Intermittents, where gastric 
symptoms predominate ; backache, short chill, long fever; 
mostly heat, with thirst, headache, nausea, cough and sweat 
last. External coldness awl internal heat, [see Ars.] 

CHARACT. PECULIARITIES. Great weakness and aver- 
sion to all food. * Nausea and vomiting, with almost all ail- 
ments. [Tart. e. Verat.] Hemorrhages from all orifices of th<i 
body. [Crotal. Erig. Ham,— After great depletion, Ars. *Chin.] 

KALI BICHROMICUM. 

HEAD. Sudden, transient attacks of vertigo, [when rising, 
stooping, looking up, Podo. *Puls,— When riding in carriage, 
Cocc Hepar. — When lying down, or turning over in bed, 
*Con. — Wben raising head, Chin. — -When ascending a height, 
Calc. c— When descending, Ferr.] Throbbinq headache at 
angles of forehead, with dimuess of sight. Frontal headache, 



350 KALI BICHROMICUM. 

mostly over left eve, [over right eye, with nausea and vomiting. 
Sang.] *The pain is of a dull, heavy, throbbing character, 
mostly in forehead ; worse after eating. Headache from sup- 
pressed corvza, [Chin. Nux v.] Pressure on vertex, as from a 
weight, [Aloe. Cann. s. Caot. g.— On forehead, Aeon. Bell. 
Nux v. Sulph.] 

EYES. Great heaviness of eyelids on waking, [see Gel.] 
Eyelids burning, inflamed, much swollen; rash on adjacent 
parts. (Edematous swelling of eyelids, [see Kali c] 

EARS. Violent stitches in left ear, extending to roof of 
mouth, [in right ear, Nit. ac] Discharge of thick, yellow, 
fetid pus from ears, after scarlet fever, [Bell. — After measles, 
Puis. — After suppressed crusta lactea. Sulph.] 

NOSE. Great dryness of nose, [Graph. Nit. ac. — Nostrils 
ulcerated, scabby, Calc. c. Nit. ac. Sil.] Green, fetid discharge 
from nose, [Graph. *Merc *Puls. Rhus. — Yellow, fetid dis- 
charge, Aur. m. Puis.] ^Discharge of hard, elastic plugs, 
[Alum Sep. Sil. Thuy.] Caries of bones of nose, [Aur.] 
Fetid smell from nose, [Calc. c. Merc. Nit. ac] Bopy, tough 
discharqe from posterior naies. 

MOUTH and THROAT. Tongue coated with thick, yellowish- 
brown far, like felt, [thick, dirty-yellow, *Merc. iod.] Tongue 
dry, smooth, red, and cracked, [*Bell. *Rhus. — Dry, hard, 
coated black, Merc] Soft palate, reddened; uvula relaxed, 
with sensation of a plug in throat, [see Hepar.] * Pseudo- 
membranous deposit on fauces, tonsils, soft palate, and res- 
piratory mucous surfaces, pearly in appearance and fibrinous 
in character, [similar deposit, more limited in extent, easily 
detached, and slow to reorganize, *Merc iod. — Dark-colored 
pseudo-membrane, *Phyto. —Dirty-gray color, Apis.] Uclera- 
tion of uvula and tonsils [Apis. Bell. *Merc Mur. ac] Burn- 
ing in pharynx, extending to stomach. * Discharge from 
mouth and throat tough and stringy. 

STOMACH and ABDOMEN. Desire for beer, acids, and 
sour things, [see Hepar.] Vomiting undigested food, bitter 
bile; glairy, pinkish fluid, or blood, [see *Ipec] * After rat- 
ing, the food lies in stomach like a heavy load, [*Ars. Bry. 
Merc *Nux v. Sep.] Swelling of stomach, with fulness; 
cannot bear tight clothes, [Lye Nux v.] Dull, heavy pressure 
or stitches in region of liver. Cutting pain in abdomen, soon 
after eating. * Chronic intestinal ulceration, [Merc] 

STOOL. Constipation , stools dry, knotty, with burning at 
anus, [Nat. m. Verat.] stools slate-colored, bloody. Morning 
diarrhoea; wakes with urgent pressure to stool, [Nux v. 
* Sulph.] Stools watery, gushing out, followed by tenesmus. 
Bloody, jelly-like stoo's. Sensation of a plug in the anus, [of 
a weight, Sep.] 

SEXUAL O'S. Menses too soon, with vertigo, nausea, and 
headache. * Yellow, ropy leucorrhoea, with itching, burning 
in the parts. Rawness, soreness in vagina. 

RESPIRATORY O'S. Hoarseness in evening, [Calc c Carb. 



KALI CARBONICUM. 351 

v. Laoh. — In morning, Caust. Phos.] *True membranous 
croup, [Brom. Iodi.] Tickling in larynx ; every inhalation' 
causes cough. Cough in morning, with viscid expectoration, 
and stitches in chest, [see Bry.] * Violent, rattling cough, 
whh expectoration of tough, stringy mucus, [Phos. Staph.] 
Cough, with pain in sternum, extending back between shoul- 
ders. Pricking pain in region of heart. 

EXTREMITIES. Stitches at lower angle of left scapula, 
[constant pain under lower inner angle of right scapula, 
*Chelid.] Rheumatic pains in joints, especially wrists, [as 
if dislocated, Bry. Ruta.] Cracking of all the joints from 
least motion. Heaviness of legs, [numbness, Nux v. Sil.] 

FEVER. Great inclination to yawn and stretch. Chil- 
liness, with vertigo and nausea, then heat, with coldness and 
shooting pains in temples; no thirst. Attacks of chilliness 
extending from feet upwards; wants to be in a warm place, 
[*Ars. Hep. Rhus.] Heat alternating with general perspira- 
tion. Fever in first part of night. 

SKIN. Hot, dry, red skin, [see Bell.*] Solid eruption, like 
measles, [see Puis.] * Pustular eruptions, resembling small- 
pox. Suppurating tetter, [Calc. c. Merc] 

CHARACT. PECULIARITIES. Especially adapted to fat, 
light-haired people, scrofulous and syphilitic disea-es, [Merc] 

* Discharges from nose, mouth, throat, stomach, vagina, etc., 
of a tough, stringy mucus. Daily headache in morning, at 
same hour, [Nux v. Sulph.] Pains which shift quickly from 
one part to another, [Bell. *Puls.] Symptoms appear and 
disappear suddenly, [*Bell.] 

KALI CARBONICUM. 

HEAD. Headache when riding in carriage, [Bell. *Cocc] 
*One-sided headache, with nausea, [Colo. Coni. Ipe.— As if 
brain would burst, Puis.] Aching in back part of head, [in 
fore part, Bell. Bry. Puis. —-In top, Hep. Lach.] Stitches in 
temples. Throbbing pain in forehead, [Bell. Con. Graph. —In 
top of head, Cap. Kreo. Nat. c Stam.— In back of head, Calc. c 
Sep.— In temples, Aeon. Bell. Nit. ac Stan.— In whole head, 
Lach. Puis.] * Liability to take cold in head, [Bell. Sil.] 
Great dryness of hair, [greasiness of, Bry.] 

EYES. Redness of the whites, [blood-red, Thuy.] Stitclies 
in eyes, [Bry.] Agglutination of lids in morning. Sp »ts, 
gauze, and black points before the eyes, [Cocc. Caust. Dig.] 

* Swelling over upper eyelids, like little bags, [under the 
lower li'ls, Apis.] Eyes sensitive to daylight. 

EARS. Stitches in both ears [Con. Nit. ac] *Cracking in 
ears, [when masticating. Graph.] Singing, whizzing, and 
roaring in the ears, [see Chin, j Hardness of hearing. *Hard 
swelling of parotid gland. 

NOSE. Sure, scurfy nostrils, for a l<ng time. Ulcerated 
nostrils; bloody nasal mucus, [comp. Kali b.] 



352 KALI CARBONICUM. 

STOMACH and ABDOMEN". Desire for acids or sugar, 
J [see Hepar.] Milk and warm food disagree, [Puis. Sep.] 
Sour eructations after a meal, [Bry, Calc. c. Phos.— Bitter, 
Bell. Chin. Nux v. — Tasting like garlic, Mosch.] Nausea, as 
if he would faint, subsiding when lying down. Sour vomit- 
ing of food, [Nux v. Phos. — Vomiting an exceedingly sour fluid, 
*Iris v.] Sensation in stomach as if cut to pieces, [as if torn 
to pieces, *Ars.] Throbbing in stomach, [Nux v. *Puls.] 
*Stitches in region of liver; also burning pain, [see Bry.] 
Inactivity and coldness in abdomen, [Ars. Phos. Sep.] 

STOOL and ANUS. * Constipation, with distress and colicky, 
stitching pains an hour or two before stool. Large, difficult 
stool, [see Nux v.] Passing of white mucus before and during 
stool. Itching and burning of the anus. Large, painful vari- 
ces, [Mur. ac] 

SEXUAL O'S. Deficient sexual instinct, [increased sexual 
desire, Canth. Phos.] Menses too late, pale, and scanty, [Dulc. 
Hep. Nat. m. Puis. Sulph.] Menkes too early and too pro- 
fuse, [*Bell. *Calc. c. Nux v. Phos. Sabi.] Yellowish leucor- 
rhoea, with pain in small of the back, [Alum. Sulph. — Yellow, 
ropv, Kali b.] 

RESPIRATORY O'S. Hoarseness and loss of voice, [see 
Phos.] Cough from titillation in throat, [Bell. Chin. Nux v. 
Phos.] *Dry, hard cou^h, worse about 3 a.m., with sticking 
pains in left side. Stitches in right chest through to back, 
when taking an inspiration, [see Bry.] Violent palpitation of 
heart, with dulness of head and nausea. Burning in region 
of heart, [coldness^ Nat. m.] Crampy pain in region of 
heart. 

BACK. Drawing pain in small of back. * Stiffness and 
paralytic feeling in back, [in nape of neck, Sulph.] Stitches in 
region of both kidneys. Stiffness in nape of neck, [Bell. Phos. 
Sep.] ^Swelling of cervical glands, [Caust. Merc. Sil.] 

EXTREMITIES. Tearing pain in arm, from shoulder to 
wrist-joint, [Rhus. t. — in shoulder-joint, Bry. Sulph.] Lace- 
rating in wrist-joints. Nightly rheumatic pains in legs of a 
tearing character. * Jerking up of limbs, much frightened 
when feet are touched. Heaviness and stiffness of feet. 

FEVER. Pulse variable. Chilliness mostly in morning, 
[increased towards evening, Puis.] Chill frequently after 
pains, [with the pain, Ars. Mere. *Puls.] Chilliness in even- 
ing, relieved by warm stove, [Ars. *Ign. — Chilliness increased 
near warm stove, Ipec.] Internal heat with external coldness, 
[see Ars.] 

CHARACT. PECULIARITIES. ^Stitching, darting pains, 
worse during rest, [pains as if sprained, worse during rest, Rhus. 
— *Stitching, darting pains, better during rest, Bry.] Intense 
thirst, morning, noon, and night. *Dropsical affections, and 
paralysis of old people. Great aversion to being alone, [Ars. 
Lye. — Wishes to be alone, Nux v.] Worsein cold air, or from 
being cold. 



LACHESIS TRIGONOCEPHALUS. 353 

IACHESIS TRIGONOCEPHALUS. 

MIND. Great disposition to feel sad, [Nit. ac. Puis. Sep.] 
Indolence of mind, [indisposed to work, Con. Nit. ac. Phos.] 
Excessive moaning and complaining of one's pains. Inabil- 
ity to think, [Gel.] 

HEAD. Giddiness, with headache. Dull pain in vertex, 
[see Kali c] Heaviness of head, [Bell. Calc. c. Nux v. Puis. 
Sulph. — Ligh'ness of, *Stram. —Sensation of emptiness in head, 
Cocc. Puis.] *Beating headache, most violent over eyes, 
[beating in middle of brain, Calc. c. — In the occiput, Sep.] 
Headache, mostly in forehead, with nausea and chilliness, 
[Puis.] 

MOUTH and THROAT. Burning in mouth, as from pepper, 
[Hydras.] Tongue dry, red, cracked at tip. Great dryness of 
mouth, feeling sore. * Anterior half of tongue red, smooth, 
and shining. *Great difficulty in protruding the trembling 
tongue, [Ars. Bell.] Cracks and large papillae on tongue, 
[vesicles on tongue burning, smarting when eating, Nat. m. 
Hell.] Inflammation of tongue, [*Bell. Merc] Inflamma- 
tion of tonsils, with disposition to suppurate, [see Hep.] 
Ulcers in throat, and on inflamed tonsils. * Diseases of throat 
that begin on left side, [begin on right Bide, Gel. *Lyc Podo.] 
Malignant diphtheria, [see Kali b.] * Painful deglutition; 
fluids regurgitate through nose, [*Bell. Merc] * Cannot 
bear anything to touch throat, it is so sensitive and causes suffo- 
cation, [Apis.] 

STOMACH and ABDOMEN. Bitter taste, [everything tastes 
bitter, Bry. Chin. Colo. Puis.] * Regurgitation of food after 
eating, [Puis. Phos.] Eructations of sour water after eating, 
[see Nux J. Vomiting the ingesta, [see Ipec] Vomiting 
with diarrhoea, [Ars. Verat.] Gnawing pressure in stomach, 
relieved by eating. Burning in abdomen, [Ars. Phos. Sep. — 
Coldness in, Calc. c Kreo. Phos.] 

STOOL. Chronic constipation ; hard stools, resembling sheep- 
dung, [Chel. Plum. Ruta.] Chronic diarrhoea, mostly in even- 
ing or at night. Alternate diarrhoea and constipation. Dis- 
charge of blood and pus from anus, very offensive. 

URINARY O'S. Stitches in region of kidneys, [Kali c] 
Dull pain in bla Ider. Frequent micturition, with copious 
emissions of foaming urine of a dark color. * Yellow urine, 
like saffron. Dark and turbid urine. ^Sensation of a ball in 
bladder, [of a worm, *Bell.] 

SEXUAL O'S. * Especially suited to women at climacteric 
period, with frequent uterine hemorrhages, [Puis. Sep.] 
* Menses at regular time, but too short and feeble, [irregular, 
never at ri<iht time, Nux v. Nux m. *Sep.] Before menses, 
vertigo and headache. *Cannot bear the least pressure in 
uterine region. * L*fl ovary swollen, with pressing, stitching 
pains, [see Apis. *Bell.] 

RESPIRATORY O'S. Hoarsncss, with feeble voice. Cough, 



354 LYCOPODIUM. 

occasioned by ulcers in throat. *Can bear nothing to touch 
the neck, [Apis.] *Slight pressure on throat produces vio- 
lent cough. * Cough worse after sleeping, [Apis.] Bloody 
expectoration, with frothy mucus. Oppression of chest, ac- 
companied by cough. * Stitches in left chest, with difficult 
breathing; worse when coughing or breathing, [see Bry.] 
Burning in chest, [coldness, Ars.] Palpitation of heart Irreg- 
ularity of beats of heart, [Kali c] 

BACK. Pains in back, with constipation, or palpitation of 
heart and dyspnoea. * Great painfulness and sensitiveness of 
neck to contact, [stiffness in nape of neck, Kali c. Phos. Sep.] 

EXTREMITIES. Pains in wrist-joints, as if sprained, 
[*Arn. Gel.— As if dislocated, Bry. Ruta.] Stinging in tips 
of fingers. * Whitlow, [Merc. *Sill. — See Hepar.] Sting- 
ing in knees. Left knee feels as if sprained, [sharp stitches 
in right knee, Bry. Calc. c] Gangrenous ulcers on legs, [see 
Ars.] Caries of the tibia. 

FEVER. Pulse small, weak, and accelerated ; intermittent 
pulse, [Kali c. Nat. m. Spig.] Chilliness, with chattering of 
teeth. Heat, especially in evening, in hands and feet, [in 
face, with cold hands and feet, Ruta.] * Chills at night and 
flushes of heat by day. Intermittent fever, the disease returns, 
every spring, or after being suppressed the previous fall by 
quinine. Typhoid fever, with stupor, muttering, sunken coun- 
tenance, dropping of lower jaw, dry, red, or black tongue, 
cracked at tip and trembles. Perspiration yellow, cold, 
bloody, [Lye] 

SKIN. Color of skin bluish red, or yellow, [Chin. Hepar. 
— Dirty yellow, Merc] Ulcers very tender, and burning when 
touched, with ichorous, fetid discharge, [Ars. Carb. v. — Ulcers 
hard on edges, stinging, burning; with proud flesh; turning 
black, thin ichorous pus, *Ars. Graph. — Ulcers tingling, pul- 
sating, burning, stitches when touched, Clem. — Black ulcers, 
with bloody, fetid discharges, Ars. Con. — Ulcers, with tearing, 
itching pains, burning when touched, Lye. — Ulcers corroding, 
easily bleeding, Ars. Merc. — Cancerous ulcers, Ars. Con. Sulph.j 
Carbuncles, surrounded by boils and purple spots. 

CHARACT. PECULIARITIES. *Very unhappy and dis- 
tressed after sleeping. Can bear nothing tight about waist. 
*Great sensitiveness of the surface to slight touch or pres- 
sure, [see Apis.] *Left side most affected, [right side, Lyco.] 
Suitable to persons of intemperate habits, [also Nux v. Opi.] 
Bad effects of mercury, china, [Puis. Sulph.] *Symptoms 
all worse after sleep, [Apis Calc. c. Opi. Verat.— Better after 
sleep, Crot. Pnos. Sil.] 

LYCOPODIUM. 

MIND. Melancholy, [cheerful, Croc. Lach.] Weeping 
mood, with chilliness, [Puis.] *She is afraid to be alone, 
[Ars. Bis.— Wishes to be alone, Chin. Mag. m. Nux v.] Ex- 



LYCOPODIUM. 355 

tremely sensitive, [Cham. Coff.] Great indifference, [Chin. 
*Phos. ac] Vehement, angry, headstrong. 

HEAD. Pressing headache on vertex ; worse from 4 to 8 
p. M., and /row lying down or stooping, [pressing pain in the 
vertex, as if a nail were driven in, Nux v. *Ign. Thuya ] 
*Pain in temples, as if they were screwed towards each other, 
[iEthu. Merc] Stitches in temples, mostly on right side, 
[see Kali c] Tearing pain in occiput, [Con. — * Stupefying 
pain, ascending from nape of neck, Dulc.J Great falling out 
of hair. 

EYES. Stitches in eyes, without any redness, [Bry. Kali c] 
Smarting in eyes, [as from salt, Nux v.] Burning in eyes, 
[Cap. Kreo. — Coldness, Con. Kali c] Styes on lids, near in- 
ternal canthus, [see Puis.] Eyes wide open, insensible to 
light, [Hyos.] 

EARS. Dulness of hearing, [Graph. Kali c. — From sup- 
pressed fever and ague by quinine, Calc. c. — From abuse of 
mercury, Hepar. Nit. ac] Roaring, humming and whizzing 
in the ears, [see Chin.] 

NOSE. Sense of smell very acute, [Bell. Con. Hep. —Very 
obtuse, Alum. Calc Mez.] Ulcerated nostrils, [Aur. Calc. c 
Graph. Nit. ac] Fluent corvza. [Ars. Lach. Merc— D y 
coryza, Nit. ac Nux v. Sep. — Green discharge, Phos. Puis. — 
Purulent, Calc c Sulph.] * Fan-like motion of alae nasi. 
[Phos.] 

FACE. * Grayish-yellow color of face, with blue circles 
around eyes, [Ars. Chin.] *Dropping of lower jaw, in 
typhoid fever, [Lach. Opi.] Itching, scaly herpes in face and 
corners of mouth. 

MOUTH and THROAT. Teeth excessively painful to touch. 
Toothache, with swelling of cheeks, relieved by warm applica- 
tions, [worse from warm, Bry. — Cold water relieves, Puis.] 
Dryness of mouth and tongue without thirst [with thirst, Nat. 
m. Nit. ac. Rhus. — Dryness of throat, without thirst, Mur. ac 
Nux m. — With thirst, Pet. Phos.] *Tonguedry; becomes 
black and cracked, [*Ars. Merc. Verat. — Ked and cracked, 
*Bell. Rhus. t. —Clean, parched, Hyos.] Inflammation of 
throat, with stitches on swallowing, [Hep.] Swelling and 
suppuration of tonsils, [Hep. Merc] * Ulceration of tonsils, 
beginning on right side, [Bell. Podo. — Beginning on left side, 
*Lach.] 

STOMACH and ABDOMEN. * Excessive hunger, [soon 
after eating, Cina. Merc] Aversion to bread, etc., [see Hepar.] 
Desire for sweet things, [Ipe. Lye — Aversion to sweets, 
Caust. — See Hepar.] Food tastes sour, [Nux v. Puis.] Sour 
eructations, [see Nux v.] * Great weakness of digestion, 
[Carb. v. Chin.] After eating, pressure in stomach, with 
bitter ta^te in mouth. *Inimediately after a light meal, ab- 
domen is bloated, full, [*Chin. Nux v. Phos. — Feels empty 
after eating, Sang. Sars.] * Constant sense of fenyient<ition in 
abdomen, like yeast working, [Angus. Chin. Phos.] *Much 



356 LYCOPODIUM. 

rumbling, particularly in left hypochondria, [sensation of 
something alive in abdomen, *Croc] Incarcerated flatulence, 
[Carb. v. Chin.] 

STOOL. * Constipation, stool passed with great difficulty. 
Scanty stool, with sensation as if much remained behind. 
URINARY O'S. Dark and scanty urine, [Bell. Nit. ac] 
* Red, sandy sediment in urine, [Cact. g. Phos. Sep. Sil. — 
Yellow, sandy sediment, Am. c. Sil. — Brick dust-like sedi- 
ment, Chin. Nat. m. Phos. Puis. — Clay-like, Am. m. — Jelly- 
like, Berb. Puis. — White, Calc. c. Sep.] * Before passing 
urine, child screams with pain. 

SEXUAL O'S. Diminished sexual desire ; penis small, cold, 
relaxed, [Arg. n. Hep. Mag. c. — * Increased desire, *Canth. 
Nux v. Phos.] * Menses too soon and too profuse, [*Calc. c. 
Bell. Bry.] Suppression of menses, also from fright, [Aeon. 
Opi.] Chronic dryness of vagina, [Bell.] * Discharge of 
wind from vagina, [Bromi. — From bladder, Sars.] * Profuse 
leucorrhcea, with cutting pains across right side to left ; dis- 
charge like milk, or bloody. 

RESPIRATORY O'S. Dry cough, with wheezing. *Cough, 
with gray salt expectoration, [green, tasting sweet, *Stan.] 
Cough, with bloody expectoration, [Merc] Pulmonary phthisis, 
with cough and expectoration of large quantities of pus. 
Stitches in left side of chest, [Bry. Kali c] The least exer- 
tion causes shortness of breath. *Oppressed breathing, with 
fan-like motions aloz nasi, [Phos.] * Cough worse from 4 to 
6 p. M. Typhoid and neglected pneumonia. [Sulph.] 

BACK. S welling of cervical glands, [Caust. Merc. Sili.] . 
Painful stiffness of neck, [Kali c] Drawing pain in small of 
back, [as if sprained, Arn. Calc. c] Burning between the 
scapulae, [coldness, Am. m.] 

EXTREMITIES. Kedness, inflammation and swelling of 
joints of fingers. *Great dryness of skin of hands. Pain as 
if sprained in hip, [Mez. — Feels as if dislocated, Caust. Bry. 
— Pulsating pain in hip-joint, the beginning of suppuration, 
Merc. Hep.] * inflammation of end of bones Cold feet con- 
stantly, [as if they had on damp stockings, *Calc. c] One 
foot cold, other hot. [see Dig.] *01d ulcers on legs, tearing, 
itching and burning at night, [Ars.] 

SLEEP. * Drowsiness during day, and sleepless at night, 
[Merc. *Phos. ac. Sulph. — Sleepy, but cannot sleep, *Bell. 
Opi.] Starting when falling asleep, [Bell. Bry.] Palpitation, 
cannot lie on left side. 

FEVER. Sensation as if circulation stood still. Chilli- 
ness from 4 to 8 p. m., with sensation of numbness in hands 
and feet, [fingers feel as if dead, *Sep.] n e-sided chilliness, 
mostly on left. * Intermittent fever : paroxysm at 4 P. M., 
terminating at 8 p. m., [see Rhus.] Shaking chill and great 
coldness, as if lying in ice, followed by perspiration and 
violent thirst, without previous heat. Sweat smelling like 
onions. 



MAGNESIA CARBONICA. 357 

SKIN. Itching of skin, as if caused by fleas, [Nice] 
Humid suppurating herpes, [Kali b.] Full of deep cracks, and 
covered with thick crusts. Fistulous ulcers, with hard, 
everted edges, [Ant. Calc. c. Sil.] Ulcers, with tearing, itch- 
ing pains, burning when touched, [see Lach.] Caries, [Calc. 
c. Hep.] Mercurial ulcers, [Hepar. Nit. ac] *Dry porrigo 
of children 

CHARACT. PECULIARITIES. Adapted to subacute and 
gradually advancing chronic diseases. * Great emaciation of 
upper part of body. * Great fear of being left alone, [Ars. 
Kali c. — Wishes to be alone, *Nux v.] ^Constant sense of 
satiety, or fulness in abdomen, [see Sep.] * Disease always 
worse, 4 P. M , and better in the evening, [worse in evening, 
Merc. Nit. ac. *Puls.] Patient feels better on getting cold, 
from being uncovered, [Sec. Verat. — Reverse, Ars. Hep.] 

MAGNESIA CARBONICA. 

MIND. Sad and indisposed to talk, [wants to talk con- 
tinually, *Stram.] Trembling, anguish, fear, as if some 
accident would happen. 

HEAD. Vertigo when kneeling or standing as if every- 
thing were turning around. Headache from mental exertion, 
or when in a crowd. Pulsating sensation in forehead, [see 
Bell.] * Headache increased by stooping and relieved by 
lving down, [increased by lying down, Bell. Colo. Lye] Pain 
on top of head as if hair were pulled. 

EYES. Burning, stinging in eyes, which are inflamed. 

* Agglutination oMids in morning, [Bry. Calc. c. Merc. Sulph.] 
Black motes before eyes, [Aeon. Merc. Phos.] 

EARS. Great sensitiveness to noise, [Aeon. *Bell. Bry. 
Chin.] Whizzing and ringing in eais, [see Chin.] 

NOSE. Nosebleed in the morning, [Am. c. Nit. ac. Nux.] 
*Dry coryza, with obstruction of the nose. 

FACE. Earthy, sickly complexion, [pale, death-like, Ars. 
Verat.] Alternate redness and paleness of the face, [Bell. 
Croc. Ign. Puis] Boring pain in the malar bone at night, 
wor-e during rest. 

MOUTH and THROAT. Toothache while riding in a 
carriage, [headache, Bell. *Cocc] Toothache during preg- 
nancy, [Sep.] Burning vesicles on gums, cheeks, tongue, lips 
and palate, bleeding easily. Bloody salva, [Ars. Merc. Nux.] 
Burning in throat, with dryness and roughness, as if scraped, 
[Ars. Hep. Nux. Phos.] Hawking up fetid tubercles color of 
peas, [see Arg. n.] 

STOMACH and ABDOMEN. Bitter or sour taste in mouth, 
[sweet, Merc. Mur. ac] Desire for fruit and acid things, 
[*Phos. ac. Verat.] Sour eructations. Eructations, tasting 
of ingesta, [Calc. c. Chin. *Puls.l Vomiting bitter water. 

* Contractive pain in stomach. Stitches and sensation of 
hardness in region of the liver. Contractive, pinching pain in 
right iliac region. Great heaviness in abdomen. 



358 MERCURIUS. 

STOOLS. * Green, watery, frothy stools, like the scum on a 
frog-pond, [like chopped spinach, *Acon. — Like chopped eggs and 
spinach, *Cham.] Bloody mucous stools. Sour-smelling stools 
of children, [Hep. *Rheum. Sulph.] Before stool, cutting, 
pinching in abdomen. During and afar stool tenesmus. 

SEXUAL O'S. Pressing towards pelvis, as if menses 
would come on. Menses too late or suppressed. * Menstrual 
blood thick, dark, like pitch, [Nux. Sang. —Black, clotted and 
offensive, Ign. *Mag. m. Plat. Stram.] During menses, great 
debility, chilliness, headache, pale face, and pain in small of 
back 

RESPIRATORY O'S. Spasmodic cough during night, with 
pain in chest. Oppression of chest, with a sensation of con- 
striction, [Aeon. Ars. Nux v. *Phos. Puis.] Soreness in chest 
as if bruised during motion. 

BACK. Stiffness in neck, [Bell. Bry. Nit. ac. Rhus. Sulph.] 
Pain in small of back, as if broken. 

EXTREMITIES. *Pain as from a sprain in right shoulder, 
when moving arm. Rheumatism of shoulder, pain prevents 
least motion of arm. Spreading blisters on fingers. The 
lower, especially knees, are very painful. Painful swelling in 
bend of knees. Heavy, weary feeling in feet, [*Bell. Lach. 
Nat. m.] 

SLEEP. * Sleeplessness at night from oppression in ab- 
domen, [from itching of head, face, and shoulders, Gels. — 
From palpitation of heart, Cro. t.] 

FEVER. Pulse accelerated only during night. Chilliness 
with external coldness in evening. Chill running down back, 
[see Cap.] Heat after evening chill, and perspiration with 
thirst from midnight till morning. 

SKIN. Vesicles and pimples, sometimes itching violently, 
[Rhus t.] Small, red elevated herpes, scaling off. 

CHARACT. PECULIARITIES. Epileptic attacks, falls down 
suddenly with consciousness, [without consciousness, Lye.] 
Painfulness of whole body. Feels tired, especially in feet. 
Most symptoms come on at night and while at rest. Better 
while moving about. 

MERCURIUS. 

MIND. Great restlessness. Anxiety, with fear of losing 
one's mind. Indifference to everything, [*Phos. ac.] Con- 
tinuous moaning, [Lach.] Suspicious, distrustful. Great 
weakness of memory Hurried speech, [talks all the time, Cicu. 
* Stram.] Craziness, absurd talking. 

HEAD. Vertigo, when lying on back, things turning black 
before the eyes, [vertigo when lying down, or turning over in 
bed, *Con, — When sitting up in bed, Cocc.] Compressive 
headache, head feels as if in a vise, [Nat. m. Puis. — Sensation 
as if skull were open, Carb. a. — As if skull would split, Bell. 
Bry.] Head feels as if it would burst with fulness, [Aeon. 



MERCURIUS. 359 

*Bell. Bry. Sulph. — Sensation of emptiness in head, Cocc. 
*Oxal. ac. Sep.] *Stitches through whole head. Open fon- 
tanels, with dirty color of face, sour-smelling night-sweat, 
[*Calc. c. *Sil. Sulph.] *Stinging, burning, fetid eruptions 
on hairy scalp, [Graph. Hep. s. Lye] 

EYES. ^Scrofulous ophthalmia; lids swollen, edges ulcer- 
ated and scabby, [Bell. Calc. c. Phos.] Ulceration of margins 
of lids, [Euph. Nat. m. Sulph.] Inflammation, with redness 
of whites, [Bell. Puis. Rhus t.] * Pustules on conjunctiva. 

* Ulcers on cornea, [Ars. Calc. c. *Sil. * Sulph.] 

EARS. Sticking pains in ears, [shooting pains, Puis. — Stitching, 
tearing pains, *Cham. Chin. — Pulsations in ears, Hep. Phos. 
*Rhus. Sil. — Stinging, Bell. Nux m. — Cracking, Baryt. Kali 
c. Nit. ac] Buzzing, roaring, [Caust. Con. Croc] Discharge 
of pus from ears, [Nit. ac *Puls. Sulph.— Bloody pus, Graph. 
Pet. *Rhus.] 

NOSE. Greenish, fetid pus from the nose, [Puis. Rhus t. 
— See Kali b.] Swelling of nasal bones. * Profuse fluent 
coryza, with much sneezing, [Euphr. Gel. Kali c — Coryza, 
with acrid, corroding discharge, Ars. *Arum. t. Lye — Dry, 
coryza, Dulc. Nit. ac Nux v. Sep. — Dry at night, fluent during 
day, *Nux v.] 

FACE. Pale, yellow, earthy color of face, [Ars. Puis.— 
Greenish color, Ars. Carb. v. — Yellow saddle across nose, *Sep.] 
Crusta lactea, [with thick crusts and fetid, bloody ichor, Rhus 
t.] * Ulcerated corners of mouth, [Bell. Graph.] Syphilitic 
pustules on face. 

MOUTH and THROAT. * Bitter, sour, putrid, or sweet 
taste, [see Puis.] Dry, rough, black lips, painful to touch. 

* Ulcerated gums; they recede from teeth and bleed when 
touched. Very fetid breath, [Nux v.] *Grayish ulcers on 
inner surface of lips, cheeks, gums, tongue, palate, [fetid ulcer* 
in mouth and fauces, *Kali c Nit. ac Nux. v.] Tongue 
coated with a dirty-yellow fur. *Dry, hard, blackish tongue, 
[*Ars. Lach.] The tongue feels as if burnt, [Colo. Verat. v.] 
*Ptyalism, the saliva often fetid and tenacious, [Bell. Lach. 
Sul. ac. — Ptvalism from abuse of mercury, Hep. Nit. ac. 
Sulph.] * Bloody saliva, [Ars. Hyos. *Nux"v. Rhus.] Com- 
plete loss of speech and voice, [* Bell. Con. Laur.] Catarrhal 
sore throat; stitches when swallowing. Fluids return through 
nose when being swallowed, [*Bell. Lach.] Ulcerated tonsils, 
with sharp, stinging pain«, [*Bell. Lach. Nit. ac] Burning 
in throat, as from hot vapor ascending, [as of something cold 
ascending, Caust. —As of a bail rising, Asaf. Kalmia. Lach. 
Mosch.] 

STOMACH and ABDOMEN. Hunger soon after eating, 
[Cicu. Phos. * Staph.— Sensation of emptiness after eating, 
Sang. Sars. — Great fulness after eating. Chin. *Lyc *Nux m.] 
Rising of air, or acrid, putrid eructations. * Complete loss of 
appetite, [Chin. Rhus t.— Canine hunger, Lye Sulph.] Great 
wtakness of digestion, with continuous hunger. * After a meal 



360 MERCURIUS. 

food weighs like a stone in stomach, [*Ars. Bry. *Nux v,] 
*Kegion of stomach sensitive to touch, [Bry. Lach. Nux v.] 
* Hepatitis, with stinging pains and great soreness in region 
of liver to contact, [Bell. Bry.] Induration of liver, [Chin.] 
*Stabbing, pinching pains in abdomen, with chilliness, [pains 
mostly accompanied by chilliness, Ars. Bell. Sep. *Puls.] 
Syphilitic and scrofulous buboes, [Nit. ac. Thuya.] 

STOOL. Diarrhoea: *stools dark-green, frothy, or yellowish 
like sulphur, preceded by chilliness, [see Dig.] Tenesmus 
during and after stool, [Bell. Cap. Colch. Mag. c] * Dysentery; 
stools bloody mucus, [*Cap. Canth. Colo. *Nux v.] Dark-green 
mucus ; whitish-gray mucus, [white, slimy stools, Cham. Colch. 
Sulph.] *The discharges are accompanied by chilliness, sick 
stomach, cutting colic, violent tenesmus during and after stool. 
Black, pitch-like stools, [*Ars. Chin. *Verat.— White stools, 
Calc. c. Dig. *Phos. ac. — Jelly-like, mucous stools, but little 
pain, worse at night or in morning, * Colch. Hell. *Podo.] 

URINARY O'S. Urine dark-red, soon becoming turbid and 
fetid. * Dark-red urine, as if mixed with blood, [dark like 
coffee, Nat. m. Tereb.] Urine smells sour, [strong like horse 
urine, Ben. ac. *Nit. ac. — Like cat's urine, Viol, try.] Burn- 
ing in urethra, [during micturition, Cap. Caust. — After 
micturition, *Canth. Nit. ac] *Gonorrho?a; thick greenish 
or yellow discharge, [Thuya. — Purulent discharge, Agn. c. Cap. 
— Soreness of urethra, with bloody discharge, Canth.] 

SEXUAL O'S. Painful inflammation and swelling of glans 
and prepuce. *Chancre ulcers on prepuce and glans, [the 
chancre assumes a phagedenic appearance, and secretes a 
thin, ichorous pus, *Merc. cor. — Indurated chancres, old, 
obstinate cases, Merc. pre. rub. Merc. v. Cinna. — Old cases 
alter abuse of mercury, *Kali iod. Nit. ac. — Caul ifloiver-l ike 
excrescence on glans and prepuce, * Thuya.] Suppression of 
menses. * Prolapsus of vagina, with sensation of great raw- 
ness, [Ocimum c. *Sep. Stann. — Prolapsus uteri, Calc. c. 
Con. *Nux v. Sep.] 

RESPIRATORY O'S. * Catarrh with chilliness, fluent coryza, 
hoarseness, sore throat, cough, dread of open air. *Dry, 
fatiguing cough ; pain in chest and small of back, [Cham. 
*Nux v. Phos.] * Whooping cough. Shortness of breath when 
walking or going up-stairs, [Ars. Calc. c] Pneumonia, with 
bilious symptoms. Stitches in right chest through from the 
shoulder-blade, [stitches in left chest, Lach. Lyco.] Burning 
in chest, extending to throat, [Cocc— Sensation of coldness 
in chest, Ars. Sulph. ] 

BACK. Bruised pain in small of back, especially when sit- 
ting, [when touching the part, Graph.] *Swelling of the 
cervical glands, with painful closing of jaws, [Caust. Kali c] 

EXTREMITIES. ^Lacerating in shoulder-joint, humeri 
and wrist-joint, particularly at night, and when moving the 
parts. * Itch-like eruption on hands. * Cold, ^ clammy 
sweats on thighs and legs at night. Coxalgia; pulsating pain, 



MERCURIUS CORROSIVUS. 361 

suppuration beginning, [*Hep. Mur. ac. *Sil. Staph.] Drop- 
sical swelling of feet and legs, [Apis. Ars. Colch.] 

SLEEP. * Great inclination to sleep in daytime, [Puis. 
Sulph. — Especially after meals, Bry. Nux. *Phos.] Wakeful 
until 3 A. M., [Am. c. — Cannot sleep after 3 A. m., Calc. c. Nux.] 
Sleepless at night. 

FEVER. Accelerated pulse, at times slow and trembling. 
Chills, especially in evening, [Bell. *Puls.] * Paroxysms of 
fever, especially at night, with thirst. *Profuse, debilitating 
night-sweats, [Chin. Phos. *Sil. — Copious morning sweat, after 
waking, Puis. Sulph.] 

SKIN. Itching eruptions, burning after scratching, [Cro. t. 
Rhus. Staph. — Sore after scratching, Sulph.] *Itch, bleeding 
easily, [see Sulph.] * Ulcers and eruptions, having a raw ap- 
pearance, [like raw flesh, *Nit. ac] *Svphilitic ulcers and 
herpes. * Watery vesicles and blotches ; turn yellow and 
m a 1 1 1 r*a te 

CHARACT. PECULIARITIES. * Affects especially the glan- 
dular system, [Hep. Iodi. Kali b.] The parts are much swol- 
len, with a raw, sore feeling. *Profuse perspiration with 
most complaints, bat does not relieve, [better after perspir- 
ing, Verat.] All symptoms are worse at night, and in damp, 
rainy weather, [Dulc. Rhus.] 

MERCURIUS CORROSIVUS. 

MIND. Anxiety, preventing sleep. Stares at persons who 
talk to him, and does not understand them. 

HEAD. Vertigo, with coldness, cold ] >erspiration ; [with 
chilliness, *Puls.] Vertigo, with dizziness when stooping. 
Violent temporal headache. Head feels heavy, [Calc. c. 
Phos. ao. Sulph. — Feels light, Stram.] Swelling of head and 
neck. 

EYES. Pnpils contracted, insensible, [Ars. Cicu. Laur. — 
Pupils dilated, Aeon. *Opi. *Stram.] Ophthalmia, with deep 
ulcers on the cornea, discharge ichorous, making surrounding 
parts sore. Iritis, especially of syphilitic origin. Eyelids 
swollen, red, excoriated; * edges covered with thick crusts or 
pustules, [see Sulph.] 

EARS. Inflammation, with stitches in ears, [Bell. Merc.] 
Discharge of fetid pus from the ear, [see Rhus.] 

NOSE. Ozaena, discharge from nose like glue, drying up 
in posterior nares; perforation of the septum, [see page 62.] 

MOUTH. * Sensation as if mouth was scalded, [Jatro. Mag. 
m. Sep.— As if tongue was scalded, Colo. Hydras. *Verat. v.] 
Gums swollen, covered with false membrane; gangrenous; 
bleed freely, [see Ars.] Tongue coated with thick white 
mucus, or dry and red. Papillae elevated, strawberry-like, 
[Bell.] Ulcers hi the mouth, throat and gums, with fetid 
breath, [Nit. ac. Nux.] Burning in mouth extending to 
stomach. 



362 NATRUM MURIATICUM. 

THROAT. Uvula swollen, elongated, dark red. *Throat 
intensely inflamed, [Bell. Merc. Phyto.], swallowing causing 
suffocation. * Tonsils swollen and covered with ulcers, [Lach. 
*Merc. Nit. ac] Pricking in throat as from needles. 

STOMACH. Vomiting albuminous matter, [Jatro.] Vom- 
iting tough or stringy mucus. * Vomiting blood, [Ars. Ipe. 
Phos.] Vomiting a substance like coffee-grounds, [Ars. Con. 
Phos. Verat.] * Burning in the stomach, extending up to the 
mouth. Bloated abdomen, painful to touch, 

STOOLS, etc. Diarrhoea, yellow, green, bilious, bloody 
stools; with tenesmus and severe cutting, colicky pains. 
Dysentery, * painful bloody discharges, with vomiting; tenes- 
mus during and after stool ; worse after midnight. Autumnal 
dysentery, [*Acon. Colch.] Burning and tenesmus of rectum 
and bladder after stool. 

URINE. Scanty, brown, with brick-dust sediment, [Chin. 
Phos. Puis.] Tenesmus vesicas; urine scanty, hot, bloody, or 
suppressed, [see Canth.] The urine passed only in drops, 
with great pain, Albumen in the urine, [Apis. Berb, Helon.] 
Filaments, flocks, or dark flesh-like pieces of mucus in urine, 
[Apis, Canth. Kalmia.] 

SEXUAL O'S. Men. Gonorrhoea greenish, worse at night; 
burning smarting urination. Violent erections during sleep. 
Buboes, [see Merc] Women. Leucorrhoea, pale yellow, of 
a disgustingly sweetish smell, [odor of menses, Caust.] 

CHEST. * Hollow, fatiguing dry cough. Cough with bloody 
expectoration, [Bell. Merc. Nitrum.] Haemoptysis, followed 
by pulmonary phthisis, attended with hectic fever. Pulmo- 
nary tubercles. Great dyspnoea. 

FEVER. Pulse small, weak, intermitting, [see Dig.] Chil- 
liness from the least movement, [Merc. Nux. Rhus. Podo.] 
Generally with colic. Burning and stinging heat in the skin. 
Night-sweat, [Chin. *Merc. Phos.] Cold perspiration, often 
only on forehead, [see Verat.] 

NATRUM MURIATICUM. 

MIND. Dejection of spirits, [gay and cheerful, Croc. Lach.] 
Out of humor; gets angry at trifles, [*Bry. *Cham.] *Great 
tendency to Kart, [Con. Ign.] 

HEAD. Vertigo when rising from bed, [see Kali b.] Sen- 
sation of emptiness in head, [Cocc. Coral, r. Sep. — Great ful- 
ness, *Acon. *Bell. Sulph.] Pressing headache from both 
sides, as if head were in a vise, [iEthu. *Merc. Puis. — Press- 
ing on the vertex, as from a weight, Aloe. Cact. Can. e. Kali b.] 
Beating in forehead, with nausea and vomiting; worse in 
morning, and better when lying down, [worse about 3 p.m , 
and when lying down, *Bell.] * Awakens every morning 
with a violent, bursting headache, [Sulph.] Burning on 
vertex, [see Sulph.] Periodical headaches during menses. 

EYES. * Excessively sore, red, disgusting eyelids. *Thin, 



NATRUM MURIATICUM. 363 

watery, excoriating discharge from eyes after abuse of nitrate 
of silver. Fiery, zigzag appearance around things, [see Ign.] 
Gauze before the eyes, [Caust. Phos. Sulph.] Letters 11m 
together when reading, [Chin. Cocc] Long-sighted, [Calc. c. 
Pet.— Short-sighted, Nit. ac] 

EARS. Otalgia, with stitches in the ears, [Cham. Chin.] 
Singing or tingling in the ears. Kinging, humming, or buzz- 
ing in the ears, [see Chin.] 

NOSE. Boring pain in nasal bones. * Excessive fluent 
coryza, with loss of smell and taste, [see Puis.] Scabs and 
scurf in nose. Posterior nares dry. 

MOUTH AND THROAT. *Lips dry, cracked; upper lip 
swollen, [see Bry.] * Heaviness of tongue, with difficult 
speech, [Mur. ac. Nux v.] Vesicles on the tongue, [Mur. ac] 
* White coated, or map tongue, [Tarax.] Sore throat: it feels 
as if a plug had lodge I in it, [see Hepar.] 

STOMACH AND ABDOMEN. Sour taste. Longing for 
bitter food and drink, [see Hepar.] *Sour regurgitation of 
food, [Lach. Phos. — Regurgitation of a sweetest water, Merc. 
Plumb.] *Great aversion to bread, [Lye. Nux v. — Bread 
tastes bitter, Chin.] *Craves salt, [Calc. c. — Food tastes too 
salt, Carb. v. Sep.] Soreness in pit of stomach when pressing 
on it, [Bry. Merc. Sulph.] *She always has heartburn after 
eating, [Calc. c. Croc] Vomiting, first food, later bile, [first 
bile, later food, Bry.] * Stitches in region of liver, [see Bry.] 
Fermentation in abdomen, [like a pot of yeast working, *Lyco. 
Phos. — After eating fruit, Chin.] 

STOOL. Constipation; stools hard, dry, crumbling, very 
difficult to discharge, [Am. m. Mag. m. — Stools tough, shining 
like grease, *Caust. ] Diarrhoea; stools thin, watery, with 
colic. * Excoriating diarrhoea, like water, only in daytime, 
[*Pet.] Burning in rectum during and after stool, [Ars. 
Canth. Iris v.] 

URINARY O'S. Pale urine, with brick-dust sediment, 
[Puis. —Dark-brown, with white sediment, Calc. c Sep. — 
Urine white, like milk, Con. Phos. ac — Turning white after 
staiding, *Cina.] Brown, black urine, [*Colch. Tereb.] Red 
sand in urine, [see *Lyco.] * Severe cutting pains in urethra 
after micturition. Involuntary micturition when coughing. 

SEXUAL O'S. *The menses delay, and grow more and 
more scanty, [see Puis.] * Very sad and gloomy during menses, 
with palpitation of heart and morning headache. Pressing, 
bearing down in genitals, must sit down to prevent prolapsus, 
[*Bell. *Nit. ac Plat. *Sep.] Leucorrhcea, acrid, greenish, 
especially when walking, [Bovista.] 

RESPIRATORY O'S. * Cough after going to bed, spas- 
modic, suffocating, expectoration mostly in morning, [dry 
cough at night, going off when sitting up, *Hyos. Phos.] 
Tensive pains in muscles of right chest. Stitches in chest 
during a deep inspiration, or when coughing, [Bry. Lye 
Puis.] * Palpitation of heart from slightest motion, [Dig. 



364 NITRIC ACID. 

Iod.] Irregular, intermitting beats of heart, [Kali c. Lach. 
Sep. — see Dig.] 

BACK. Pain in small of back, as if bruised. Painful stiff- 
ness of neck, [Bell. Bry.] The pain in back is relieved by 
lying on something hard, [*Rhus t.] 

* EXTREMITIES. Languor, heaviness of arms, [Caust.] 
Sensation of lameness, and as if sprained in shoulder-joint, 
[Nux v.— Lacerating in shoulder-joint, Sulph.] Pain in hip, 
as if sprained, [as ii dislocated, Bry. Ruta.] * Great heavi- 
ness of legs and feet. Swelling of feet, [*Ars. *Chin.] 

SLEEP. Sleepiness during day, wakeful at night, [Merc. 
*Sulph.] Sleep full of fanciful ravings. Talks while asleep, 
and is very restless, [Sep. *Sulpli.] 

FEVER. Pulse very irregular, especially when lying on 
left side. Constant chilliness, and want of animal heat, 
[Ledum.] Intermittent fever. Chilliness, with great thirst; 
afterwards fever, with violent thirst and excessive headache; 
at last profuse perspiration. *The chill occurs about 10 a.m., 
commencing mostly at feet, [Petro. — Chill at 7 a.m., Eup. per. 
— At 11 A.M. or 11 p.m., Cactus. — Every day at 3 p.m., An- 
gus. — At 4 p.m , Lye. Puis.] * Inveterate, or badly treated 
cases of fever and ague, especially after abuse of quinine, 
[Puis.] 

SKIN. Rash over whole body, with stinging in skin. 
*Nettle-rash after violent exercise, [after taking cold, *Dulc. 
— After getting wet, Rhus t. — After suppressed itch, Psorin. — 
During menses, Kali c] 

CHARACT. PECULIARITIES. *Losing of flesh while liv- 
ing well, [Calc. c. Iodi. — * Young people who incline to grow 
fat, Calc. c] Pulsation in whole body from least exertion. 
Bad effects from loss of animal fluids, [Calc. c. Chin. Phos. 
ac] Great liability to take cold. Most complaints are aggra- 
vated at 10 a.m., appear or grow worse while lying down, 
and are relieved by sitting up ; also bHter from lying on right 
side, [better lying on painful side, Bry. Ign. Puis.] 

NITRIC ACID. 

MIND. Sad, desponding, [Nat. m. *Puls. Rhus t.— Gay, 
cheerful, Croc. Lach. Oxal. ac] Anxiety, with fear of death 
[*Ars. Nux v. — Predicts the day he will die, *Aeon.] Ex- 
cessively nervous, [Canth.] Indisposed to work, [Con. Phos. — 
Indisposed to talk, Dig. Phos. ac. Stan.]* 

HEAD. Headache in the morning on waking, [Calc. c. 
Nat. m. * Sulph.] Headache, as if head were surrounded 
with a tight bandage, [Merc. Ther. — Headache relieved by 
tight bandaging, Arg. n. *Puls.] Stitches in temples, partic- 
ularly right, [Kali c. Lye. — Vide Caust.] * Throbbing pain in 
temples, [*Acon. *Bell.] 

EYES. Stitches in eyes, [Bry. Kali c. Lye] Smarting 
sensation in eyes, [as from salt, Nux v. — As from sand., Caust 



NITRIC ACID. 365 

Euph.] Paralysis of upper lids, [see Gel.] Black spots be- 
fore the 3yes, [Carb. v. Merc] Double vision, [Hyos.] Short- 
sightedness, [Long-sighted, Nat. m. Calc. c. Pet.] Fistula 
lachrymalis, [*Pet. Puis.] 

EARS. Stitches in right ear, [see Kali c] * Hardness of 
hearing, especially from induration of tonsils, after abuse of 
mercury, [from abuse of quinine, Puis.] Roaring, throbbing, 
cracking, in ears, [see Chin.] 

NOSE. Soreness, burning, and scurf in nose. Fetid, yellow 
discharge from nose, [Aur. m. Puis. — Green, fetid discharge. 
Graph. Kali b. *Merc Puis. — See Kali b.] Violent fluent 
coryza, with pain in limbs, [Ars. Merc. Pet.— Dry coryza, 
Dulo. *Nux v. *Sep.] * Fetid smell from nose. 

FACE. Dark yellow, almost brown, complexion. * Black 
pores in face, [Dig. Sabi.] Small pimples on face. Drawing 
pain in cheek-bones. Swelling of submaxillary glands. 

MOUTH. *Throbbing toothache, mostly at night in bed, 
[Mur. ac. Sep.] Gums white, swollen, bleeding, [Nux v.] 
Great dryness in mouth, with thirst, [without thirst, Bell. 
*Nux m.] Mercurial and syphilitic ulcers in mouth and fauces, 
with pricking pain, [see Merc] * Mouth full of fetid ulcers; 
bloody saliva; putrid-smelling breath [*Nux v.] 

STOMACH and ABDOMEN. * Bitter taste, particularly 
after eating, [Ars.Bry. Puis.— Food tastes sour, Nux v. Puis.] 
Longing for fat, herring, chalk, lime, earth, [see Hepar.] 
* Great thirst continually. Sour eructations, [Bry. Calc. c 
Kali c Phos.] *Much nausea and gastric trouble, relieved 
by moving about or riding in a carriage, [see Cocc] Stitches 
in region of liver. Cutting pain in abdomen, in morning in 
bed, and after rising. *Swelling and suppuration of inguinal 
glands, [Merc Thuya.] 

STOOL and ANUS. *Hard, difficult, and scanty stool, 
[Alum. Lye. Ruta. — Large, hard, difficult stools, crumbing as 
they pass, Am. mur. Mag. m.] Diarrhoea; stools putrid or 
mucous, fetid or undigested. Dysentery, with bloody stools and 
tenesmus, [see Merc] * Hemorrhage from bowels in typhoid 
fever, [*discharges of black, decomposed blood, Phos. — In- 
voluntary and cadaverous smelling. *Ars. *Carb. v.] *01d 
hemorrhoidal tumors, secreting much slime, and bleeding 
profusely after stool. Fissures of anus, [see Carb. v.] 

URINARY O'S. Discharge of dark-brown, badly -smelling, 
urine. *The urine has an intolerably strong smell, like that 
of horses, [Chin. s. — Dark-colored and heavy, with an exceed- 
ingly strong smell, *Ben. ac — Smells, like cat's urine, Viola t. 
— Like violets, Nux m. Tereb.— Like ammonia, Asaf. Iodi. — 
Smells sour, Ambr. Merc — Thick, purulent urine, smelling 
like musk, Ocim. can. — Smelling like onions, Gum g.] * Active 
hematuria; urging after micturition, with shuddering along 
the spine. 

SEXUAL O'S. Chancre-like ulcers on prepuce and on 
corona glandis, with pricking, stinging pains, [see Merc] 



366 NUX VOMICA. 

* Secondary syphilis, after abuse of mercury. Uclers in vagina, 
burning, and itching, [painless, *Sulph.] *Mensestoo early 
and too profuse, [see Puis.] * Pressing down in genitals as 
if everything would protrude, [*Bell. Nat. m. Sep.] Pain in 
the small of the back, through the hips, and down the thigh. 

* Leucorrhcea, cherry-brown color, fetid, [Am. m. Chin. — Green, 
corrosive, Bovis. Merc. Sep. — White, like milk, Con. Puis.] 
*Tumors in mamma?, [Carbo a. *Con. *Phyto.] 

RESPIRATORY O'S. *Dry, barking cough in evening after 
lying down, [see Hepar.] Violent, shaking, barking cough, 
with expectoration of blood mixed with clots, or of yellow, 
acrid pus, tasting bitter, sour or salt. Shortness of breath, pal- 
pitation of the heart, and anguish when going up-stairs, [Ars. 
*Calc c. Merc] Atrophy of mammae, [*Iodi. — Swelling and 
induration of, Bell. Con. Graph.] 

FEVER. Pulse very irregular. Afternoon fever, heat, and 
chilliness. Heat, with perspiration and debility after eating. 
Intermittent fever; chilliness in afternoon; then heat over 
whole body ; afterwards perspiration ; no thirst in either 
stage, [see Puis.] Perspiration offensive, smelling like urine, 
[Colo.— Like sulphur, Phos. — Putrid, Staph. — Sour, Merc] 

SKIN. * Eisily-bleeding ulcers ; look like raw flesh, 
[Merc] Ulcers, with boody, ichorous matter, [see Lach.] 

* Mercurial ulcers and caries, [Aur. Sulph.] Black pores on 
skin, [Sulph.] 

CHARACT. PECULIARITIES. * Acts especially on mucous 
outlets, as rectum, anus, vagina, mouth. * Adapted to diseases 
depending upon presence of some virulent poison, as syphilitic, 
mercurial, and scrofulous miasm. Especially suited to lean 
persons with dark complexion, black hair and eyes, [lean 
persons who walk stooping, *Sulph.] Great debility, with 
heaviness and trembling of limbs. Symptoms worse in even- 
ing and at night ; better from riding in a carriage, [reverse, 
Cocc] 

injx VOMICA. 

MIND. — Hypochondriac mood, [Bell. Calc c Puis. — Cheer- 
ful mood, Angus. Cann. Croc] * Noise, talk, strong odors, 
and bright light are intolerable. *Very irritable, and 
wishes to be alone, [Chin. Mag. m. — Fear of being alone, 
Ars. Kali c Lach.] * Disposed to quarrel and feel vexed, 
Bry. Cham. Lye] He makes mistakes in speaking, and gives 
wrong, absurd answers, [see Gel.] * Insane desire to kill 
even his best friends. * Mental derangement, in case of 
drunkards, [delirium tremens.] Muttering delirium, [Hyos. 
Mur. ac Rhus.] * Ailments from intoxication and nightly 
revelling. Time passes too slow, [Arg*. n. Pall.— Too fast Cocc 
Ther. cur.] Aversion to all kinds of labor, [Nit. ac Phos. — 
Aversion to talk, Dig. Phos. ac] 

HEAD. * Vertigo, with obscuration of sight, and whizzing 



NUX VOMICA. 367 

in ears. *Head feels much too large, [Arg. n. Glon. Lactu. 
— Too small, Coff. — As if it became elongated, Hyp. per.] 
Headache, feels as if head would split, with sour vomiting, 
[Bry. Sars. — Gastric sick headache, with vomiting of sweetish 
water *Iris.] Sick headache from wine, coffee, close mental 
application, sedentary habits. *Pressing pain on vertex, as 
if a nail were driven into it, [Ign. — Semi-lateral pains, as if a 
nail were driven into side of head, Coff.] Head symptoms 
worse in morning ; in cold air ; from mental exertion, and 
when lying down, [see Bell.] 

EYES. Pressure on upper lids, especially in morning, 
^Painless spots, like extnvasated blood in sclerotica. Ooz- 
ing of blood from eyes, [Bell. Carb. v. Cham.] Burning and 
smarting in eyes as from salt, [see Nat. m.] Streaks, like 
lightning, befoe eyes, [flickering zigzag*, Ign. Nat. m.] In 
tolerance of light of day, [of candie-light, Borax. Hepar. Phos." 

EARS. Otalgia, with tearing, stinging pains, [see Cham. 
Tingling, hissing in ears. * Kinging in ears, [see Chin. 
Roarmg in ears, early in morning, [Bell. Lye. Nit. ac.] 

NOSE. * Fluent coryza during day, and dry coryza at night, 
[see Merc.] First stage of ordinary catarrh, with oppressive 
dulness in head. 

FACE. Pale, yellowish complexion, [Merc. — Gray-yellow, 
Carb. v. — Pale face, pointed nose, sunken eyes, with blue 
margins, *Ars. Chin.] Redness anl heat of one cheek, and 
paleness of the other, [Aeon. *Cham.] 

MOUTH and THROAT. Tearing toothache, renewed by 
cold drink, relieved by warmth, [better from cold things, and 
worse from warm, *Bry. Coff. Puis.] Gums swollen, white, 
putrid, bleeding, [Nit. ac] Bloody saliva, [Ars. Hyos. Merc. 
Rhus. — See Merc] * Stumacace ; fetid ulcers in mouth and 
fauces, [*Kali chlo. Nit. ac] Tongue black and cracked, 
with bright-red edges. The tongue feels heavy, [Colch. 
*Mur. ac. Nat. m.] *Sore throat; when swallowing, feels as 
if it were raw. Burning in throat up to mouth, \_coldness in 
throat, Carb. v. Laur. Verat.] Feeling as of a plug in throat, 
[Hepar. Ign. As of splinters in the throat, Arg. n. *Hepar. 
*Nit. ac] Throat feels constricted, [Nat. m. Hyos.] Catar- 
rhal sore throat. 

STOMACH and ABDOMEN. Hunger, with aversion to food. 
Longing for brandy and chalk, [see Hepar.] Putrid or bitter 
taste early in morning, [Merc. Puis. — Bitter or sour taste after 
a meal, Lye Puis.] * Bitter, sour eructations, [Nit. ac *Phos. 
Sul. ac] *Gulping up a bitter fluid, [Bry. Ign. Puis. - 
A sweetish water, Merc Plumb.] Nausea after a mea', [Ars. 
*Bry. Puis.— After drinking, Puis. Rhus.] Vomiting food, 
sour-smelling mucus, dark-clotted blood, [s^e *Ipc] * Vom- 
iting of pregnant females, [Con. *Kreo. *Euphor. Verat.] 
Jfrgion of stomach very sensitive to pressure, [Ars. Bry. *Merc 
*Phos.] * Cannot bear clothing tight about waist, [Chin. Hep. 
# Lyc] * Sensation of great fulness after eating a small 



368 NUX VOMICA. 

quantity of food, [*Chin. Lye. *Nux m. — Feeling of emptiness 
after eating, Sang. Sars. — Sensation as if the stomach hung 
down relaxed, Arg. n. *Staph.] * Pressure in the stomach, 
as from a stone, especially after eating, [Ars. Bry. Merc. Puis.] 
* Constrictive, cramp-like pain in stomach, [see *Colo.] Throb- 
bing in stomach, [Iod. *Puls. Rhus. Sep.] * Burning in 
stomach, [see Ars.] Throbbing in region of liver. ^Cutting 
or pinching pain in abdomen, with desire to vomit. Incar- 
cerated hernia, [Opi. *Tabac] * Umbilical hernia of infants. 

STOOL. * Habitual constipation of large, difficult faeces, with 
frequent, and often ineffectual, attempts at stool, [Bry. Con. 
Ljc.—SmaJl, hard stools, with ineffectual efforts, Lye. Sulph. 
— *Too large in size, hard, and dry, Bry. — See Lye.] Dysen- 
tery, with cutting at the navel, pressing on rectum; stools, 
bloody mucus with faeces, [liquid, faecal, mingled with hard lumps, 
Con. Lye.] Pitch-like stools, with blood, [Merc. *Leip.— Black, 
putrid stools, Ars. Chin.] *Painful haemorrhoids, blind or 
flowing. 

URINARY O'S. Renal colic, pain extending to genitals and 
leg. Painful and almost ineffectual urging to urinate, [Cann. 
Puis.] * Urging to urinate, passing only a few drops of red, 
bloody, burning urine, [Cann. Canth.] *Bloody urine, [Ipec. 
Millef. Tereb.] 

SEXUAL O'S. Constrictive pain in testicles. Menses too 
early and too profuse, with dark, black blood, [Bry. *Cal. 
phos. Cimic— Too late, pale, and scant, Graph. *Puls. Sulph. 
— See Puis.] *Menses irregular, never at the right time, 
[Iod. *Nux m. Ruta. *Sep.] Dysmenorrhoza,[ *Cimi.] Fetid 
hucorrhoza, tinging linen yellow, with uterine pains, [see Nit. 
ac.] * False and inefficient labor-pains, with frequent desire 
to urinate and go to stool. Prolapsus uteri from overlifting, 
straining, [Rhus. — Prolapsus vagina, *Merc. *Sep.] 

RESPIRATORY O'S. First stage of ordimry bronchial 
catarrh, with dry coryza. *Dry cough, with a sense of con- 
striction around waist. The cough is worse after midnight 
and in morning, from exertion, when lying on back, from 
eating and drinking, [see Spong.] Painful pulsative shocks in 
direction of heart, [Cann. Con.] * Palpitation of heart, with 
inclination to vomit and heaviness in chest, [see *Dig.] Pres- 
sure on outer parts of chest, as from a load. 

BACK. Drawing pain in nape of neck, [Chin. Puis.] 
Bruised pain between scapulae, [aching under outer edge of 
left scapulae, Bell.— * Constant pain under inferior angle of 
right scapula, Chel.] Bruised pain in back, worse 3 or 4 a.m. 
Spine affected by sexual excesses, 

EXTREMITIES. Upper. Sudden loss of strength in arms, 
early in morning. Paralysis of arm, with tumult and shocks 
in it, as if blood would start out of vessels. The hands go to 
sleep and feel dead. Lower. * Numbness and paralysis of 
h>wer limbs, [Lye. Plum.— Paralytic heaviness, Stan. Sulph.] 
Numbness and deadness of lower legs. Cracking in knee- 



opium. 369 

joint during motion, [Cocc. Con. — Buzzing sensation in lower 
limbs, Kreo.] 

SLEEP. * Cannot sleep after 3 a.m., ideas crowd upon the 
mind so, [Calo. c. Sep. — Cannot sleep before 3 a.m., Am. c. 
Merc] Great drowsiness during the day and after meals, 
[Bry. *Phos.] Night seems long. 

FEVER. Chilliness, not relieved by external heat, [Bell. 
Phos. — Heat relieves, Ars. *Ign. Kali c] Chilliness, with 
shuddering, in evening and at night; worse from movement 
an I after drinking, [see Ars.] Coldness of whole body, with 
blue skin and finger-nails. Fever and ague, with much gas- 
tric disturbance, [Ipe. Puis.] Great heat, and yet wants to be 
covered, [Hepar. — Wants to be uncovered, Hyos. Sec] Af- 
ternoon or evening fever, [Chin. Phos. Puis.] Sweat after 
midnight. 

CHARACT. PECULIARITIES. Suitable to thin, slender 
persons, [lean persons with dark complexion, black hair and eyes, 
Nit. ac — Tall, slender, fair skin, nervous temperament, Phos. 
— Thin, scrawny, with shrivelled skin, Sec] *Shocks and 
jerks through whole body, [pulsations through whole body, 
Puis. *Zinc — Buzzing through whole body, Opi.] Heaviness of 
body, [lightness, Sep. Thuya. — Feels too tall, *Stram.] *Bad 
effects from coffee, tobacco, spirituous liquors, sedentary 
habits, loss of sleep. Aggravation in morning, after eating, 
from touch ; strong pressure relieves, Nat. c] 

OPIUM. 

MIND. Fearfulness and tendency to start, [Ign. Kali c. 
Nat. m.] Stupid indifference to pain and pleisure, [insen- 
sibility to mental impressions, Stram.] *Thinks she is not 
at home, [see Bry.] * Delirious talking; eyes wide open, 
face red and puffed up, [unconscious delirium, with closed 
eye>-, Hyos.] Complete loss of consciousness, [Bell. Laur.] 
* Complete loss of mtmory, [see Hydras.] *I)ilirium tremens, 
with duiness of sense, stupor, and loud snoring, [with clonic 
spasms, unconsciousness, and aversion to light and company, 
Hyos. — With consciousness and desire for light and company, 
Stram.] * Apoplexy, with loss of consciousness, red, bloated 
face; half-closed eyes, dilated, insensible pupils; foam at the 
mouth, loud snoring. 

HEAD. Duiness and stupefaction of head as from drunken- 
ness, [Gel.] Vertigo when rising, has to lie down. Sensation 
ot' tightness in head, [of looseness, Nat. sul. Nux m. — Brain 
feels as if it fell forward when stooping Dig. — As if it fell to 
left side, Nat. s. — Feeling of hollowness in head, Carol, ru. Ign.] 
Throbbing of arteries of the head, [Hyos. Stan. — * Of the neck, 
Bell.] * Great heaviness of head, [Calc c Phos. ac Sulph. — 
Ligthness of, Stram.] 

EYES, Eyei half open and turned upwards, [heaviness of 

24 



370 PHOSPHORUS. 

lids, cannot keep them open, *Gel. Rhus. Sep.] * Pupils 
dilated and insensible to light, [contracted, Cicu. Phos.] 

FACE. * Dark-red, bloated, swollen face, [Bell. Hyos.] 
Spasmodic movements of facial muscles. Veins of face dis- 
tended. *4Ianging down of lower jaw, [Lach. Lye. — Lock- 
jaw, Ciou. Hyos.] Corner of mouth-twitch. 

STOMACH. Vomiting, with violent colic and convulsions. 
Vomiting blood, [see Ipec] * Vomiting faeces and urine, 
[Plumb.*] Lead-colic, [*Nux v.] Incarcerated hernia, [Nux v.] 
*Ileus, witli retention of stool. 

STOOL. * Constipation; stools composed of round, hard, 
black balls, [Thuya. — Hard, white, like chalk, Pallad. — Light- 
colored, lumpy, Collin.— Stools like sheep's dung, Chel. Plumb. 
Ruta. Verbas. — Stools long, narrow, hard like adog'*, Caust. 
*Phos. Prun. spin.— Too la rge, hard, and difficult, *Bry. Kali 
c. *Nux v. Verat.] * Involuntary stools after fright. * Cholera, 
infantum with stupor, 

RESPIRATORY O'S. Difficult, intermitting breathing, as 
from paralysis of lungs, [Lye. Tart, e.] *Deep snoring, 
breathing, with open mouth, [deep, like a sigh, Cap, — Un- 
equal, quick, ;md moaning, Bell.] 

SLEEP. *Very sleepy, but cannot go to sleep, [*Bell. 
Ferr.] * Great drowsiness and inclination to sleep, [Camph. 
Hep. *Phos. Seo. — Very wakeful, *Coff. Colo.] Coma vigil, 
[*Hyos. Hydro, ao. Verat.] *Stupefying sleep, with eyes 
half open and loud snoring, [Stram. — Screams out during sleep, 
Bell. Cham. Stram.] During sleep, picking at the bedclothes, 
[Hyos. Mur. ac.— Grasping at flocks, Ars. Zinc.] 

FEVER. * Pulse full and slow, with difficult snoring, 
breathing, [pulse thread-like, weak, slow, Verat.] Intermittent 
fever; shaking chill, falls asleep in cold stage, no thirst; 
during hot stage, thirst ; with copious perspiration. *Typhoid 
fever with sopor; snoring with mouth open, twitching of 
limb^, and perspiration on hot body. 

CHARACT. PECULIARITIES. Suitable to children and 
old people, [Mill.] *A11 complaints, with great sopor. 
Buzzing through whole body. * After a fright with fear, con- 
vulsions, Screaming before and during spasm, [comes out of 
spasm happy, Sulph.] * After fright; the fear seems to 
remain, [*Acon.] Bad effects from fright, [Hyos. Verat. — 
From grief, *Ign. Phos. ac.] *Bed feels so hot, cannot lie 
on it, [feels too hard, *Arn. Bapt.] Patient worse while per- 
spiring, during and after sleep, [worse after sleep, Apis. *Lach. 
Verat. — Better after sleeping, Cro. t. Phos. Sil.j 

PHOSPHORUS. 

MIND. Great lowness of spirits, [Plat. Puis. Rumex,— 
Hilarity of, Croc. Lach. Sabi.] * Fearfulness, as if some- 
thing were creeping out of every corner, [fear of ghosts, 
Aeon.] *Great tendency to start, [Kali c. Nat. m.] Indis- 



phosphorus. 371 

posed to work, [Con. Nit. ac. Nux.— Indisposed to talk, Dig. 
Phos. ac. Stan.] Loss of memory, [Merc. Nat. m. *Opi.] 

HEAD. Vertigo when rising from bed in the morning, or 
from a seat, [see Kali b.] Dull, stupefying headache, worse 
in morning and when stooping; better when lying down and 
in cold air, [worse lying down and in cold air, Bell. Nux.] 
Congestion to head, with burning, stinging, pulsating pains. 
Burning in forehead, [Stan.— On vertex, Graph. * Sulph.] 
Sensation of emptiness in head, with vertigo, [Carol, r. Ign. 
Oxal. ac. — Great fulness, *Acon. Bell. Bry.] Hamming and 
roaring in head. 

EYES. ^Ophthalmia, with burning, itching, and pressure 
as from sand in eyes. Scrofulous ophthalmia, [see Merc] 
Agglutination of lids in morning, with secretion of gum dur- 
ing day, [Caust. Kali c] * Frequent attacks of sudden 
blindness, [*Caust. Merc. Sil.] Black spots passing before 
eyes, [Carb. v. *Merc *Nit. ac— As of insects, Caust.] 
* EARS. Thiobbing in ears, [Calc c Hep. Nat. m.] *Loud 
whizzing before ears, [ringing, whizzing, Ledum. Lye] 
Hardness of hearing, as if a foreign body were in the ear, 
[see Puis.] Polypi in the ears. 

NOSE. * Frequent bleeding of nose, in morning, [Am. c Bry. 
— At night; djring stool, or from exertion, Rhus. — Epistuxis 
instead of the menses, *Bry. Puis.— After suppressed bleeding 
piles, Nux.] * Polypi nasi bleeding easily. 

FACE. *Pale, sicklv complexion. Hippocra tic countenance, 
[*Ars. Carb. v. Verat.] * Tearing pains in facial bones, as if 
parts would be torn out. Circumscribed redness of face, [Calc 
c Sang. Sulph.] Bloated lips. 

MOUTH and THROAT. Toothache, with swelling of cheeks, 
[Am. Cham. Sep.] Toothache from washing, [Nux m.] 
*Dry tongue; coated with white mucus. * Nursing sore 
mouth. Burning in oesophagus, [*Ars. Canth. Merc. — Cold- 
ness in, Carb. v. Verat.] Dryness in pharynx and fauces, day 
and night, Spasmodic constriction of the throat, [Bell. Hyos. 
Laur.] * Hawking up mucus in morning, [Lach. Nat. m. — 
See Arg. n.] 

STOMACH and ABDOMEN. * Thirst for very cold drinks. 
Hunger soon after eating, [Cicu. Merc. Staph.— Stomach feels 
empty after eating, Sang. Sars.] Sour taste after eating, 
[Lye* Puis.— All food or drink tastes bitter, *Bry. Colo.— 
Tastes sour, Nux v. Puis.] *Sour eructations after every 
meal, [Bry. Calc. c. Kali 0. — Bitter eructations after a meal, 
Bell. Chin. Nux v.] * Belching large quantities of wind after 
eating, [*Arg. n. *Iodi. Hepar.] Sour regurgitation of food, 
[Nat.~m. Nux v. Sulph.— Bitter regurgitation, Bry. Merc. Pet.] 
* Vomiting bile or a sour substance, [ *Ipe. Nux v.] Vomiting 
what has been drunk, soon as it becomes warm in stomach. 
Region of stomach painful to touch, or when walking, [Ars. Bry. 
Merc] Inflammation of stomach, with burning extending to 
throat and bowels, [Ars. Canth. Merc] Feeling of coldness in 



372 PHOSPHORUS. 

abdomen, [Ars. Pet. Sec. Sep. — Burning in, Canth. Lach. Sep. 
Sil.] *Sharp, cutting pains in bowels. 

STOOL. *Stools, long, narrow, hard, like a dog's; difficult 
to expel, [Caust. Prun. spi. — * Stools like sheep's dung, Chel. 
Plumb. Ruta. Verbas.] Alternate constipation and diarrhoea, 
[see Ant. c] Painless, debilitating diarrhoea ; worse in 
morning, [Apis. *Podo. Sulph.] Stools of green mucus; 

* white, watery, with little grains like sago, [green, like scum 
on frog-pond, *Mag. c] Stools undigested, [*Chin. Ferr. 
Phos. ac. Podo.] Bloody stools, [Cap. Colch. Colo. *Merc.] 

* Involuntary stools, anus remaining open, [Apis.— Anus as if 
constricted, Nux.] 

URINE. Brown urine, with sediment of red sand, [*Lyc] 
Hozmaturia. The urine deposits a brick-dust sediment, [Chin. 
Nat. m. Puis. — Urine dark-brown, with white sediment, Calc. o. 
Sep.] Profuse, pale, watery. 

SEXUAL O'S. Male. * Irresistible desire for an embrace, 
[Calc. c. Canth. Nux v. — Diminished sexual desire, Arg. n. 
Hepar. Lye. Mag. c.] Stitches through pelvis, from vagina 
to uterus. * Menses too early and scanty, [Con. Nat. m. Sil. 
— Too late and too scanty, Grap. Hepar. * Puis.— Too early 
and too profuse, *Bell. *Calc. c. Nit. ac. Sabi.] Profuse, 
smarting, corrosive leucorrhcea, [Con. Kreo. Puis.] 

RESPIRATORY O'S. Hoarseness in morning, [Carb. v. 
*Caust. *Iodi. Sulph. — In evening, Calc. c. Kali b. Lach.] 
^Complete loss of voice, [Bell. Bapt. Merc. Sulph.] *Vio- 
lent catarrh, with hoarseness, [Cham. Merc. Nux v.] * Can- 
not talk, the larynx so painful, [Bell. Dros.] Cough from 
tickling in throat; worse from cold air ; reading aloud ; talk- 
ing, laughing, eating or drinking, [Chin. Dros. — See Spong.] 
-* Cough, with pah-red, rust-colored, or bloody, frothy expec- 
toration, [*Bry. Rhus. Sang. — Dirty, slate- colored, Kali b. — 
*Gray, saltish, Bary. c. Lye. — Green, Lye. Phos. Puis. — Jelly- 
like, with specks of blood, Laur. — Green, with sweet taste, 
Stan. Sulph. — Salt, fetid, purulent, Kali b. Nit. ac. Sep. — 
Transparent, tenacious, Ferr. *Kali b.— Yellow, Ign. Phos. ac. 
Puis. *Stan.] * Tightness across chest, with a dry, tight cough, 
[Puis.] * Pneumonia, (leftside,) with sharp stitches in chest; rust- 
colored sputa; respiration oppressed, quick, anxious; better lying 
onrigld side, [Apis.] Heaviness and fulness in chest, [Calc. c. 
Puis. *Sep. — Emptiness, Cocc. Crot. Zinc] 

BACK. Pain in back, as if broken, [Graph. Mag. c— As if 
it would break, Kreo. Kalm.] Burning in back, [Ars.— 
Between scapula?, Bry. Lye. — Coldness between shoulders, 
Am. m.] Rachitis. 

EXTREMITIES. Stitches in elbow and shoulder-joints. 
Cramp in hands. Heaviness of lower limbs. Numbness of 
thighs and toes. ^Burning of feet, [Calc. c. Sulph.] 

SLEEP. * Very sleepy after meals, especially after dinner, 
[Bry. Lye. Nux v.] Great drowsiness; coma vigil, [see Opi.] 
Somnambulism. 



PHOSPHORIC ACID. 373 

FEVER. Pulse quick and full, or small and weak. Chilliness, 
generally in evening, not relieved by heat of stove, [Bell. 
Nux v.] Absence of thirst, and aversion to being uncovered. 
Febrile heat and sweat at night. * Typhoid fever, with sopor- 
ous condition, dry, black lips and tongue, open mouth, [see 
Lye] Hectic/ever *Nightsweats. 

SKIN. Burning itching of whole body, [Kali c] Dry 
herpes, [Calc. c. Kali c. Sulph. — Humid tetters, Kreo. *Ledum. 
Kali c. Merc. —Eruptions oozing a sticky fluid, * Graph. — 
Oozing a watery fluid, Dulc] 

CHARACT. PECULIARITIES. Especially suitable to tall, 
slender persons, with fair skin, blonde, or red hair, [fat, light- 
haired persons, Kali b.] *Weakne-s from loss of animal 
fluids, [*Chin. Calc. c. Phos. ac] Great nervous debility, 
trembling, [Cocc. Plat. Stram. Valer.] Great emaciation, 
[Ars. Bary. c. Lye. — *Children and young persons who in- 
cline to grow fat, Calc. c] *Slight wounds bleed much, 
[Lach.] Worse, in evening, from light, [better from light, 
Stram.] Better, in dark, [Con. Sang. — Afraid in dark, Caust.] 
Better lying on right side. [Apis.] Better after sleeping, 
[worse, Apis. *Lach, Opi. Verat.] 

PHOSPHORIC ACID. 

MIND. *Perfect indifference [Chin. Lye. Merc. Sep.] 
*Not disposed to talk, [*Bb11. Con. Ign. Nit. ac. — Hurried 
speech, Lach. Merc. Stram.] Silent sadness, [*Ign. Puis.] 
Low-spirited and anxious about the future, [Lyo. Nat. m. 
Nit. ac. * Delirium, drowsiness, and stupor. 

HEAD. Sensation of intoxication, with buzzing in head, 
[see Gel.] * Dreadful pain on top of head, as if brain were 
crushed, after long-continued grief. Great heaviness of the 
head, [Calc. c. Nat. m. Rhus t. Sulph. — Sensation of lightness, 
Hipp. Stram,] Headache, compelling one to lie down ; worse 
from the least shaking or noise, [Bell. [Kali b.] Buzzing in 
head. 

EYES. Inflammation of eyes, and stye on the upper lids, 
[Lye. Puis. — Styes on lower lids, Rhus.] The eyes are dazzled 
by looking at bright things. Coldness of internal surface of 
eyelids, [Alum. Kali c] 

EARS. Ringing in ears, [see Chin.] Roaring, humming 
in ears, [Bell. Lye. Nit. ac] Intolerance of noise and con- 
versation, [Aeon. Ars. — Intolerance of music, Lye. Phos. 
Sulph.] 

MOUTH. Burning pain in front teeth at night ; worse 
from hot or cold things. The gums stand off from the teeth, 
are sore, and bleed when being rubbed, [Carb. v. Merc. Nit. ac. 
Nux v. -Scorbutic gums, Am. c. Kreo. Mur. ac] * Clammy, 
sticky mucus in mouth and on tongue, [Merc. Nux m. Puis. — 
*Dry, blackish tongue, Ars. Lach. Lye. Merc. — See Lye] 
Dryness of tongue and throat, without thirst, [Bell. *Nuxm,- 
With thirst, Nit. ac. Phos.] 



374 PHOSPHORIC ACID. 

STOMACH and ABDOMEN. Nausea, as if in the palate. 
* Desire for something refreshing or juicy, [Verat. — See 
Hepar.] * Bread tastes bitter, [all food and drink taste 
bitter, *Bry. Colo. Puis.] Pressure in stomach, as from a 
load, with drowsiness, [Ars. Bry. Nux v. Sep.] *Sensation 
as if the stomach were balanced up and down, [as if hanging 
down, relaxed, Arg. n. * Staph. — Sensation of a worm in 
stomach, Croc. Lach.] Feeling of heaviness in region of liver, 
[see Podo.] Crampy pain in abdomen. 

STOOL. * Diarrhoea, preceding epidemic cholera, [Phos. 
Sec Verat.] * Copious, watery-whitish stools; painless, [Ben. 
ac. Cast. Phos. Podo. — Stools black, Camp. Chin. *Lep. 
*Verat.] Diarrhoea not debilitating, [reverse, *Ars. Chin. Sec. 
*Verat.] 

URINARY O'S. Urine like milk, mixed with jelly-like, 
bloody pieces, with pain in kidneys, [uriue turns m Iky after 
standing, Cina. — Like curdled milk, with brick-dust sedi- 
ment, Phos. — *Tran-parent, jelly-like, or reddish, with mealy 
sediment, Berb. v.] *Pa-ses large quantities of colorless 
urine at night, [*Cham.] Diabetes mellitus, [Arg. n. Bovis, 
Trill.] 

SEXUAL O'S. Itching, stinging in glans penis. Gnawing 
in testicles, [Plat. — Constrictive pain in, Nux v.] *Seminal 
emissions, especially after onanism, [Chin. *Gel. Phos.] *Too 
early and too long-continued menstruation, with pain in 
liver. * Uterine ulcers; has a copious, putrid, bloody dis- 
charge, with itching, corroding pain, [Hepar. Sec. Zinc] 

RESPIRATORY O'S. Hoarseness and roughness of throat, 
[Carbo a. Phos. -*Soreness and rawness in throat, iEscul. 
Iris.] Cough from tickling in throat and pit of stomach, 
with expectoration only in morning, [*Mag. c. Nux v. Puis. 
Sep. — Expectoration only at night, *Caust. Staph. Tart. — 
Expectoration only in evening, Dig.] Cough, with purulent, 
offensive expectoration, [Ars. Calc. c. Stan. Sulph. — Hoarse, 
barking cough, Bell. Bros. Nit ac. *Rumex. *Verbas.] 

SLEEP. Great drowsiness in daytime; sleeplessness at 
night, [Lye Merc. * Sulph. — *Sleepy, but cannot go to sleep, 
Bell. *Opi.] Anxious dreams. 

FEVER. Pulse irregular, frequently intermitting, [Kali c. 
Lach. Nat. m. Spig.] Chills, with shuddering in evening, fol- 
lowed by exhausting sweat. Typhoid fever. Intermittent jevn\ 
— Shaking chills over whole body; the fingers being cold as 
ice, without any thirst, followed by heat without thirst, or by 
excessive heat, depriving one almost of consciousness. * Pro- 
fuse morning sweats, [Chin. Sulph. ac— Debilitating night- 
sweats, Calc. c. *Merc. Sil. Stan.] 

SKIN. Scarlet-like exanthems, [Am, c. Bell. — Black, pock- 
shaped exanthems, Ars. Rhus.] Kash oyer whole body, 
more burning than itching. Ulcers, itching, inveterate or flat, 
with dirty pus, [see Merc] 

CHARACT. PECULIARITIES. Affects especially the nerv- 



PHYTOLACCA DECANDRA. 375 

ous system, [Cooc. Plat. *Valeri. — Affects glandular system, 
Hepar. Iodi. Kali b. Merc] ^Children with pale, sickly 
look ; painless diarrhoea, and tottering gait. Children and 
young persons who grow too fast, [grow too fat, Calc. c. — 
Those who incline to grow thin, Ars. Bary. o. Phos.] * Weak- 
ness from loss of animal fluids, [Calc. c. *Chin. *Phos.] Bad 
effects from grief chagrin, unhappy love, [Gel. *Ign.] *Pain 
in periosteum, as if scraped, [Rhus.] Pains worse during 
rest; and better from motion, [Dulc. Kali c. Rhod. *Rhus. 
— Better during rest, worse from motion, Aeon. *Bry. Hep. 
Merc] 

PHYTOLACCA DECANDRA. 

MIND. Entire indifference to life, [Chin. Merc Phos. ac] 
Melancholy, is sure he will die, [see Aeon.] 

HEAD. Vertigo and dimness of vision, with danger of 
falling. Pain in back of head and neck. One-sided head- 
ache, [see Puis.] Dull, heavy headache in forehead. *Sick- 
headache, worse in forehead, with backache and bearing 
down, comes every week, [comes every three or four days, Aur. 
— Every two weeks, Sulph.] Shooting pain from left eye to 
vertex. 

EYES. * Burning, smarting in eyes, with profuse lachry- 
mation, [Euph.] Feeling of sand in eyes, [see Nux.] 

NOSE. Thin watery discharge from nostrils, nose becomes 
stuffed. Flow of mucus from one nostril while the other is 
stopped. 

FACE. Hippocratic face, [*Ars. Carb. v. Verat.] *Chin 
drawn closely to sternum, by contraction of muscles, in teta- 
nus. *Lips everted and firm. Glands of neck swollen. 

MOUTH. Metallic ta4e, [Arg. n. Merc Plumb. J Back 
part of tongue feels as if burnt, [see Verat.] Tongue fie y 
red at tip, tender and smarting. Profuse saliva, sometimes 
yellowish, thick, ropy. 

THROAT. Sore throat, right side. Fauces dark, bluish- 
red, worse on swallowing, [see Bell.] *Throat feels as if a 
red hot ball was lodged in fauces, [as if a splinter was, Arg. n. 
Hepar. Nit. ac] Diphtheric inflammation and ulceration of 
throat. * Fauces, tonsils and pharynx covered with dark- 
colored pseudo-memb ane. Cannot drink hot fluids, [Lach.] 
Mucus hangs down in strings from posterior nares, and is 
hawked up with difficulty, [see Arg. n.]. 

STOMACH. Eructation; of flatus and sour fluid. Vomit- 
ing ingesta, bile, blood, and slime, with intense pain. Bruised 
and sore feeling in pit of stomach. Soreness and pain in 
right hvpochondrium. 

STOOL. *Thin, dark-brown stools, [Scilla.] Stools of 
mucus and blood, like scrapings off intestines, [*Canth. Colch. 
Colo.] Bleeding piles. Fissure! rectum. 

URINE. Dull pain and soreness in region of kidneys, 



376 PODOPHYLLUM. 

[burning, stinging, *Canth.] Uneasiness down ureters, 
[dragging, shooting pains, Cann. s.] Urine albuminous, [Apis. 
*Berb. *Helon, Terb.] * Urine dark-red, stains vessel ma- 
hogany color, [clay color, *Sep,] 

SEXUAL O'S. Gonorrhoea and gleet, [Cann. Gel. Merc] 
Syphilis, chancres, ulcerated throat; ulcers on genitals. Menses 
too frequent and too copious, [see Puis.] * Inflammation, 
swelling and suppurations of bi easts Mammary gland full 
of hard, painful nodosities, [Con. Nit. ac] 

LARYNX. Hoarseness, with loss of voice, [see Phos.] Burn- 
ing in larynx and trachea, with sensation of constriction. 
*Dry, hacking cough, with hawking. Cough excited by 
tickling in larynx, or dryness in pharynx, worse at night soon 
as he lies down, [see Puis.] 

CHEST. Aching pains in chest and side, with cough. 
Pain through mid-sternum, with cough. Shocks of pain in 
cardiac region. *Angina pectoris, pain goes into right arm, 
[with numbness of left arm, Rhus.] 

BACK. Neck stiff, tonsils swollen. Glands on right side 
of neck hard. * Rheumatism in lumbar muscles, aching 
pain dav and night. 

UPPER LIMBS. Both scapulae ache continually. Shooting 
pains in right shoulder-joint, with stiffness and inability to 
raise the arm. * Finger-joints swollen, hard, shining. Lame 
feeling in arms. 

LOWER LIMBS. Sharp cutting pains in hip, drawing; leg 
drawn up, cannot touch floor. *Kheumatism of left knee, 
hamstrings feel shortened. Chronic rheumatism of left hip. 
Ulcers on the legs. 

SKIN. Barber's itch, local application of tincture. Ring- 
worm, [Lith. c. Sep. Tellu.] Black-looking, tettery, suppura- 
tive eruption. Ulcers, with an appearance as if punched out, 
[see Sili.] Scarlatina, with angina. 

CHARACT. PECULIARITIES. Adapted to persons of a 
rheumatic diathesis [Bry. Cimi. Rhus.] Syphilitic rheu- 
matism. Pains, pressing, shooting an I sore. Erratic pains, 
[*Lac can. *Puls.] Glands inflamed, swollen. Hastens 
suppuration in abscesses, [Lach. Merc. *Sili.] 

PODOPHYLLUM. 

MIND. Depression of spirits, [Bovis. Chel. Iris.] Imag- 
ines he is going to die, [Aeon. Ars. Nux. Phyto. Sec. — Is very 
cheerful, Cocc. Lach.] 

HEAD. Vertigo, with tendency to fall forward. Morning 
headache, with flushed face, [sfee Nux v. Sulph.] Headache, 
alternating with diarrhoea. * Rolling of head during difficult 
dentition, [boring head into pillow, Apis. *Bell. Hell.— Jerk- 
ing head up from pillow, *Stram.] 

MOUTH and THROAT. Tongue furred white, with foul 



PULSATILLA. 377 

taste, [Ant. Nux. Sep.] Dryness of mouth and tongue in 
morning, [Mag. c. Puis. Spig.] Grinding of teeth at night, 
[Cicu. *Cina. Sec. Stram.] * So re throat, beginning on right 
side and going to left, [see *Lach.] Rattling of mucus in 
throat. Dryness of throat. Goitre, [Calc. c. *Iod. *Spong.] 

STOMACH and ABDOMEN. Kegurgitation of food, [see 
*Phos.] Vomiting food, with putrid taste and odor. *Wa- 
terbrash, [Ars. *Nux. Phos.] Belching of hot flatus, very sour. 
Gagging, or empty retching Fulness and j ain in region of 
liver, [Aeon. Berb. Eup. per. — Constant dull pain in region of 
gall-bladder, Bapt. *Lept. *Phyto. — Burning pain in region 
of liver, Kalic. Merc.— Drawing, burning, stinging pain, Bry. 
Calc. c. — Induration of liver, Ars. Bell. Chin. *Merc. *Sil.] 

STOOL and ANUS. Chronic diarrhoea, worsein morning, [Kali 
b. Nat. s. Phos. Sulph.— Worse at night, *Ars. Chin. *Puls. 
Verat.] * Greenish, watery stools, [Dulc. Grat. *Mag. c. Puis. — 
White, watery, Benz. ac. *Castor. Phos. *Phos. ac. — Black, watery, 
Ars. Kali b. Verat. — Yellowish, watery, Apis. Chin. Crot. t. Dulc. 
Hyos.] * Profuse stools, gushing out like a torrent, [*Jatro. 
* Thuya.] Frequent chalk-Ike stools, very offensive, with gag- 
ging and great thirst in children, [see *Calc. c. Copa.] *Dark, 
yellow, mucous stools, smelling like carrion. Jelly-like, mucous 
stools, [Aloe. *Colch. *Hell.] Painless, undigested stools, [Ars. 
*Chin. *Ferr. Hyos. Phos. ac. — Painless, morning diarrhoea, 
Eumex c. *Sulph.] White, slimy, mucous stools. * During and 
after stool, prolapsus ani, [Merc. — During stool, Gum. g. Ign. 
*Ruta. Sep.] Diarrhoea worse after eating or drinking. 

URINE. Diminished secretion of urine, [Kreo.] Suppres- 
sion of urine, [Hell. Laur. — Suppression in fever, Cact.] 

GENITALS. *Suppression of menses in young girls, [see 
Puis.] Leucorrhcea; discharge of thick, transparent mucus, 
with bearing down in genitals and constipation. *Prolapsus 
uteri, [Calc. c. *Coni. Nux v.*Sep. — Prolapsus of vagina, with 
a sensation of great rawness, *Merc. Sep. Stan.] *Numb, 
aching pain in left ovarian region, [see Lach.] 

CHARACT. PECULIARITIES. Symptoms generally worse 
in morning, especially those of abdomen. *Painless cholera 
morbus. * Violent cramp in feet, calves, and thighs, [with 
painless, watery stools.] Sudden shocks of jerking pain. 

PULSATILLA. 

MIND. Melancholy, with weeping, sadness, [Lye. Plat. Phos. 
— Gayety, cheerfulness, Croc. *Lach.] Disposed to weep 
or laugh, [Berb. Calc. c. Staph. Sulph.] * Anguish in region 
of heart, even to a desire for suicide. Hypochondriac peevish- 
ness. *He is disgusted with everything, [Calc. c. — Indiffer- 
ent to everything, Ign. *Phos. ac. Phyto.] 

HEAD. Vertigo, as if intoxicated, [Bry. Can. s. Croc. 
*Gel.] * Vertigo, win n rising from a sitting posture, with 
chillinebS. Vertigo, when stooping, lifting up the eyes, after eat- 



378 PULSATILLA. 

w(7, [see Kali b.] Confusion of head, with pain, as after 
intoxication or watching. Sensation of emptiness in head, 
with great ind ! fference, [*Cocc. Coral, r, Ign. *Oxal. ac. — 
Great fulness in head, Aeon. *Bell. Bry. *Merc] * Beating 
pain in head; worse in evening, from stooping, mental exer- 
tion, in a warm room. *Hemicrania, as if brain would burst. 
*Headache relieved by compression, [Apis. Arg. n.] * Head- 
ache from overloading stomach, or after eating fat food, [*Ant. 
Ipe. *Iris. *Nux.— Headache from abuse of coffee, Cham. 
Ign. *Nux. — From abuse of spirituous liquors, Carb. v. Coff. 
*Nux. Puis. — From excessive study, Calc. c. Nux. Sulph. — From 
moral emotions, grief, etc., *Ign. Phos. ac. Staph.] *Headache, 
worse in evening, after lying down ; better in open air and 
from compression, [Apis.] 

EYES. * Inflammation of margins of lids, with swelling, 
[ulceration of margin of lids, Euph. *Merc Sulph.] Pressure 
in eyes as from sand, [Caust. Chin. Euph. Sulph. — Burning, 
smarting, as from salt, Nux v.] * Styes, especially on upper 
lids, [Phos. ac. Lye. — On lower lids, Rhus t.] 

EARS. *Otalg'a,with darting, tearing pains, [see *Merc.]" 
Stinging in ears. Hardness of hearing, as if ears were stopped, 
[Calc c. Caust. Sil. Sulph.] * Discharge of pus from ears, es- 
pecially after measles, [Bell. Merc. Sulph.] Humming and 
tingling in the ears. 

NOSE. ^Bleeding of nose, with dry coryza, [see Bell. 
*Phos.] Green, fetid discharge from nose, [Merc. Rhus. — 
Fetid, yellow discharge, Coni. Graph. *Nit. ac] Coryza, with 
loss of taste and smell, [Nat. m. *Mag. m.] 

FACE. Yellowish complexion, [Ars. Caust. Merc. — Green- 
ish color of face, Ars. Carb. v.] Alternate redness and pale- 
ness of the face, [*Bell. Croc. Ign.] 

MOUTH and THROAT. Toothache, with otalgia, one-sided 
headache, and chilliness. *The toothache comes on every time 
he eats or takes anything warm in mouth, relieved moment- 
arily by cold water, [Bry.] *Tongue coated yellow or white, 
and covered with tough mucus, [Merc. Nux m. Phos. ac] * Sore 
throat ; it feels too narrow or as if closed up when swallow- 
ing. Back part of throat feels sore and raw. 

STOMACH and ABDOMEN. *Putrid taste in mouth, with 
inclination to vomit, [Am. Bry. *Merc Nux v,] * Absence 
of thirst, [*Bell. Ipe. Sep.] Every kind of nourishment tastes 
bitter, [*Bry Chin. Colo. — All food tastes sour, Lye Nux v. — 
All food tastes too salt, Ars. Bell. Chin. Sulph.] *Eructa- 
tions tasting of ingesta, [Ant. Calc c Chin. Con. — Tasting 
like bad eggs. Arn. Mur. ac. Sep. Sulph. — Without taste or 
smell, Hepar. Staph.] Gulping up bitter fluid, [Bry. Ign. Nux 
v. Phcs, — Sourish fluid, Dig. Hydras. Lach. Nat. s. — Sweetish 
fluid, Nat. c Plum. Stan.] Vomiting after every meal, [*Ars. 
Ferr. Iris. Nux v.] * Vomiting mucus. Morning sickness, 
[Con. Cyclamen. Ipe. Phos,] * Disordered stomach from eating 
fat, rich food, [*Ant. Ipe. Nux v.] Pain in stomach after eat- 



PTJXSATILLA 379 

ing, [*Ars. Ferr. *Nux. Sulph.] Perceptible pulsations in pit 
of stomach, [Iod. Rhus. Sep. Tart.] Distension of abdomen 
after every meal. Enteritis, with painful sensitiveness of abdom- 
inal walls. * Colic, with chilliness and rumbling in abdomen, 
especially in evening. 

STOOL and ANUS. * Nightly diarrhoea; stools watery or 
green like bile preceded by rumbling and colic. Frequent loose 
stools mixed with mucus, [*Ars. Bell. *Cham.] * Diarrhoea from 
eating fruit, [Ars. *Chin. Cist. Colo. — From eating pears, 
Verat. a. — From eating onions, Thuya. — From eating oysters, 
*Brom. Lye. — From eating veal, Kali n. — After taking cold, 
*Acon. Bry. Cham. *Dulc— After taking cold drinks, *Ars. 
Bry. Nux m. *Puls. — After cold food, ice-cream, *Ars. *Puls. 
— After drinking impure water, *Camph. Zing. — After drink- 
ing milk, *Calc. c. Nat. c. *Nicc. Sulph.] * Dysenteric diar- 
rhoea, stools nothing but mucus and blood, with chilliness 
during stool, [Ipe. *Merc. Sulph. — See Merc] 

URINARY O'S. Incontinence of urine [Bell. Gel.*Euph. pur. 
*Kreo.] *Frequent desire to urinate, with drawing in ab- 
domen. Colorless, watery urine, with jelly-like sediment, [Berb. — 
*Milky urine, with bloody, jelly-like lumps, Phos. ac] 
Hcematuria, with purulent sediment and pain in kidneys, 
[*Ars. Cann. Canth. *Phos.] Gonorrhoeal discharge re- 
sembling semen, [see Phyto.] 

SEXUAL O'S. * Menkes too late and too scanty, and of 
too short duration, with cramps in abdomen, [Con. *Dulc. 
Phos. * Sulph. — Too early and too scanty, Con. Nat. m. *Phos. 
Sil. — Too early and tooprofuse, *Am. c. Bell. *Calc. c. *Plat. — 
Too late and too profuse, Caust. Iod.] * Suppression of menses, 
especially from cold, [*Dulc. *Merc. *Podo. *Sulph.— From 
fright, *Acon. Lye. — Vicarious menstruation, (spitting blood), 
Ars. *Phos. Puis. — Epistnxis, when menses should appear, 
Bell. *Bry. Puis. — * Discharge of white water instead of the 
menses, Sil.] * Delayed and difficult first menstruations, 
[Kali c. Nat. m. Sulph. — Climacteric disorders, *Lach. Sang. 
*Sep. — Menses irregu'ar, never at right time, Iodi. *Nux m. 
Nux v. Ruta.] Menstrual blood, black and clotted, putrid, 
[Ign. *Mag. m. Plat. Stram.— Thick, black like, pitch, *Mag. 
c. Nux v. Sang.] * Menstrual colic, pains so violent she tosses 
in every direction, with cries and tears; blood thick and 
dark, [*Caul. Cham. *Cimi. Nux v.] Irregular labor-pains, 
[Bell. Caul. *Nux.] * Malposition of foetus. Thin, acrid, or 
or milky leucorrhoea. 

RESPIRATORY O'S. Hoarseness, which does not permit 
one to speak a loud word, [Bell. *Kali o. Merc. *Phos. — 
Hoarseness in the morning, with intolerable tickling in the 
throat, [*Iodi. Sep.] Scraping and dryness in throat, [Nit. ac. 
Nux v.] *Drv cousrh at night, when lying down, going off 
when sitting up, [*Hyos. Sang. —Worse from sitting up, Kali 
c. *Zino. — Worse lying on back, Am. m. Nux v. Phos.— On left 
side, Ipe. Merc. Phos.— On right side, Am. m. Stan.] * Cough, 



380 RHUS TOXICODENDRON. 

with easy expectoration of yellow mucus, especially in morn- 
ing, [Caic. c. Phos. ac. Stan. Sulph. — Dry, barking cough, 
Bell. Nit. ac. *Rumex. *Spong.] Cough, with expectoration 
of black coagulated blood, [Am. Collin. *Nit. ac] Stitches in 
side and chest, [*Acon. Bell. *Bry. *Kali c] ^Sensation of 
tightness or constriction across chest, [Bell. Nux. *Phos. 
Stan.] Dyspnoea, especially when lying on back. Burning 
in region of heart, [Opi.] 

SLEEP. Drowsiness in day-time, [Merc. Nux. *Phos.] 

* Sleep at night is prevented by ideas crowding upon one, 
[see Nux v.] Restless sleep, with tossing about ; frequent 
waking. * Sleep full of frightful dreams, [*Bell. Nit. ac. 
Phos.] 

FEVER. * Continuous internal chilliness, even in warm 
room. Increased chilliness towards evening, [Ars. Bell. Phos. 
Rhus.] * Intermittent fever ; long chill, little heat, no thirst. 
Sometimes thirst before chill or heat, seldom in hot stage. 
Ague, with much gastric disturbance, [Ant. *Ipe. Nux.] 

SKIN. *Measles, and their secondary ailments, [Bell.] 
Eruptions, like chicken-pox, from eating pork, fat things. Ery- 
sipelas, with swelling, hardness, burning heat, stinging when 
touched or moving parts, [see Bell.] 

CHARACT. PECULIARITIES. Pulsations through whole 
body [in back, Bary. c. Thuya.] * Adapted to females, or per- 
sons of a mild, tearful disposition, [Bell. *Sep.] The pains 
are accompanied with chilliness, [Ars. *Bell. Sep. Ign. — Chilli- 
ness after pains, Kali c] *Ei ratio pains, rapidly shifting 
from one part to another, [Bell. *Kali b. * Lac can.] Burning, 
stinging pains, [*Apis. Merc] Aggravation in evening; in 
twilight, [Bry Iris. Merc. Phos. — In morning, Nux Rhus. 
Sang.] Worse when lying on left side, [Aeon. Cact. Phos. — 
Better on leftside, Pallad. — Worse on painful side, Ars. Hepar. 
Iodi. Nux m. Sil. — Better on painful side, *Bry. Calc. c. Ign.] 

* Better in open air, or in a cold room, [Croc. Sec. Verat. — Bet- 
ter from heat, or in warm room, * Ars. Hepar. Kali b. Rhus.] 

RHTT3 TOXICODENDRON. 

MIND. Restlessness, with continual change of position, 
[*Ars.] Great anxiety towards evening. Fear that he will 
die, [*Ars. Bry. Nux. Sec. — Predicts the day, * Aeon.— Desires 
death, *Aur. Kreo. Sil.] Inclination to weep, especially in 
evening, with desire to be alone, [Lye. Nux. — With dread of 
solitude, Sep.] Desire to commit suicide, [*Aur. Hepar. *Nux. 
Puis.] Delirium, with stupefactiom of mind. 

HEAD. Giddiness, as if intoxicated when rising from bed, 
[see Gel.] Fulness and heaviness of head, especially in fore- 
head, [Aeon. *Bell. Bry. *Merc] When stooping, sensation 
as if a weight fell forward in forehead, [Dig.] * When walk- 
ing, sensation as if brain were loose, [Cicu. Mur. ac. Nat. s. 
Nux m.] *Stinging headache, extending to ears. Humid sup- 



RHUS TOXICODENDRON. 381 

purating eruptions on head, forming heavy crusts, eating off 
hair, offensive smell and itching, worse at night, [Calc. c. 
Graph. Lye. *Staph.] 

EYES. Inflammation of lids, with agglutination in morn- 
ing, [see Caust. Dig. *Phos.] * Erysipelatous swelling of eyes 
and adjacent parts. Incipient amaurosis. 

EARS. Otalgia, with painful beating in ear at night, [see 
Puis.] Discharge of bloody pus, with hardness of hearing, 
[Graph. *Merc. Pet.— Of yellow, fetid pus, Hepar. *Kali b. 
*Mcrc. *Puls.] Parotitis, also after scalet fever. 

NOSE. * Bleeding of nose at night. Green, fetid discharge 
from nose, [Graph. Kali b. Merc. Puis.] 

FACE. * Vesicular erysipelas of face, with burning, tingling, 
stinging, [*Cist. c. Euphor. — Vesicular erysipelas, with prick- 
ing in parts, Hepar.— * Vesicular eruptions, discharging a 
sticky, glutinous fluid, Graph. — *CEdematous swelling, with 
burning, stinging pains, Apis. — See Bell.] Crusta lactea, with 
thick ceusts and secretion of a fetid, bloody ichor, [Lye. Merc. 
* Staph.] 

MOUTH and THROAT. Dry mouth, with much thirst, 
[Nat. m. Nit. ac— Without thirst, Bell. Lye. *Nux m.] 
*Tongue, with red tip, in shape of a triangle. *Tongue dry, 
red, and cracked. Throat sore, as from an internal swelling, 
stinging when swallowing. 

STOMACH and ABDOMEN. Complete loss of appetite for any 
kind of food, [*Chin. Hep. *Merc. Puis. — Ravenous appetite, 
Bry. *Nux v. Pet. *Verat.] Food tastes bitter, especially 
bread, [see Merc.] Sudden vomiting when eating. Pressure 
in stomach, as from a stone, [*Ars. Bry. Merc. Nux.] * Vio- 
lent throbbing in stomach, [Nux. *Puls.] Colic, compelling 
one to walk bent, [to bend double, *Colo.] Cramp-like drawing 
in umbilical region. 

STOOL. Thin, red, mucus, [*Canth. Graph. Sulph.— Thin, 
yellow, mucus, *Apis. Cham. *Sul. ac.J Jelly-like mucous stools, 
[Colch. Kalib.— See Podo.] Bloody stools, [Cap. Colch. Colo. 
Phos.] Before stool, urging, cutting colic. During stool, 
cutting colic, nausea. After stool, remission of pains. Also 
frothy, painless stools. 

URINE. Dysuria, with discharges of drops of bloody urine, 
[Cann. Nux v.] * Urine, with snow-white sediment, [Cap. 
Colch.— Brick-dust-like sediment, Nat. m. *Phos. Puis.— Bed, 
sandy sediment, *Lyc] Incontinence of urine, [see Puis.] 

SEXUAL O'S. * Derangement of uterine functions, from 
bein^ drenched in rain, [from taking cold, *Dulc. Merc. Podo. 
*Puls.] Metrorrhagia, with labor-like pains; blood clotted, 
[Bell. Cham. Cimi.] * Vitiated and diminished lochia, with 
shootings upwards in vagina, with a bursting sensation in 
head, [Bry.] * Abortion from a strain or overlifting, also 
prolapsus uteri. 

RESPIRATORY O'S. Hoarseness from overstraining voice. 
Koughness of throat, inducing a short and hacking cough. 



382 RHUS TOXICODENDRON. 

* Short, dry, tickling cough, especially in evening and before 
midnight, [after midnight and in morning, Hyos. Nux v.] 
*Terrible cough, which seems as if it would tear something 
out of chest. * Putting hand out of bed brings on cough, 
[see Hepar.] Cough excited from tickling under sternum, 
[Rhus r. Rumex. Plat.] Cough in evening, with vomiting 
the ingest a, [Carb. v. Bros. Ferr.] Cough, with stitchesxn chest, 
[Aeon. *Bry. Kali c. *Puls. — With stitches over eye and 
splitting headache, Phos.] Stitches in chest and sides, worse at 
rest, [better at rest, *Bry. Puis.] Sensation of weakness and 
trembling of heart, [Bell. Nit. ac. Nux m. Spig.] Violent 
palpitation when sitting still, [*Aspar. Phos. Spig.— When 
lying down, Nux v. Oxal. ac. — On the left side, Cact. *Nat. c. 
Nat. m.] 

BACK. Pain in small of back, as if bruised, relieved by 
lying on something hard, or by motion, [Rhod. Ruta.] *Pain 
between shoulders when swallowing. Creeping coldness in 
back. 

EXTREMITIES. Tearing, burning in shoulder, with 
lameness of arm. Paralysis of arm, with coldness and in- 
sensibility. Tearing in all the joints of the fingers. Coxalgia; 
pain, as if sprained. *Rheumatism, with drawing, tearing 
pains, caused by damp weather, bathing, or straining, [Rhod. 
Ruta.] Sciatica, worse at night. 

SLEEP. * Sleeplessness, especially before midnight, [Bry. 
Graph. Phos. — Sleeplessness after midnight, *Ars. Rhod. — 
See Nux v.] Heavy sleep, as from stupor. 

FEVER. Pulse slow and irregular, [Dig. Merc. Mur. ac] 
The chilliness, with paroxysms of pain and other symptoms, 
mostly occurs in evening, [Ars. Bell. *Puls.] * Typhoid fever; 
tongue dry and brown ; sordes on teeth ; bowels loose ; great 
weakness; powerlessness of lower limbs, can hardly draw 
them up ; great restlessness after midnight, has to move often to 
get relief . Intermittent fever. Paroxysms 7 p. m., [Eup. per. 
Gel. — See Nat. m.] Chilliness, as if cold water were poured 
over him, followed by heat and inclination to stretch the 
limbs ; sweat tov; ards morning. 

SKIN. * Burning, itching eruptions, with swelling of parts, 
and small, yellowish vesicles, which run together and become 
moist. Erysipelas, with more burning than itching, and exuda- 
tion of serous fluid, forming blisters, [Canth. Cro. tig. — * Erup- 
tions oozing a sticky fluid, Graph. — Oozing a watery fluid, 
Canth. Dulc] Confluent vesicles containing a milky or 
watery fluid. Herpes, alternating with pains in chest and 
dysenteric stools. Nettle-rash, with burning itching, [Dulc. — 
*Stinging, burning, Apis. *Urtica.] Glandular swellings. 

CHARACT. PECULIARITIES. *Pain in bones, as if 
scraped. [Phos. ac] *The pains are worse at night, particul- 
arly after midnight, [*Ars. Bell. Calc. c. Sulph. — Worse be- 
fore midnight, Phos. Saba.] * Pains worse during rest, and on 
beginning to move, Con. Lye. Sep. Sulph. — Better while at rest, 



sepia. 383 

Aeon. *Bry. Merc] Aggravation from a change of weather ; 
in wet, damp weather, [*Dulc Ruta.] Better from moving 
affected parts; from stretching out limbs, [from drawing up 
limbs, Sep.] From warmth in general. 

SEPIA. 

MIND. Sadness and weeping, [Lye. Flat. Phos. *Puls — 
Merry, cheerful, Croc. Lach. Oxal. ac] * Indifference, even 
to one's own family, [Chin. Lye. Merc. *Phos. ac] Weakness 
of memory, and inability to think, [Colch. Pet. Nit. ac] 

HEAD. Vertigo only when walking in open air, [see Kali b.] 
* Violent beating headache, in evening mostly in temples, 
[Ars. *Bell. *Puls. * Sulph.] Headache, as if head would 
burst, [Bell. Bry.] Dull, aching pain over orbits, as if the eyes 
would fall out. * Paroxysms of hemicrania, with nausea and 
vomiting. Sensation of coldness on vertex, [*Verat. a. — Cold- 
ness in back part of head, Dulc Phos. — Heat on vertex, Graph. 
*Sulph.] 

EYES. Pain in eyelids when waking, as if too heavy, [see 
Gel.] Black spots or sparks before the eyes, [streaks like 
lightning, Nux v.] * Swelling of eyes, with headache. 

EARS. Herpes on lobule, and behind ear, with itch ins:. 
Discharge of thin pus from ear, [thick, yellow, fetid pus, *Kali 
b. *Merc *Puls.] Whizzing and roaring in ears, [Bell. Lye 
Nit. ac. — See Chin.] 

N03E. ^Swollen, inflamed nose, with sore, ulcerated 
nostrils, [*Alnm. Lye *Nit. ac. Sulph.] Bleeding of nose, 
[see Phos.] *Dry coryza, with obstruction of nose, [*Bry. 
Nit. ac *Nux v. Phos. — Profuse, fluent coryza, * Allium c 
*Euph. Merc. Sang.] Discharge of yellow-green plugs from 
nose [See page 62.] 

FACE. .* Yellowness of face, particularly across nose, like a 
saddle, [herpes across the none, Sulph. — Yellow blotches on the 
face. Ferr.— On forehead, Nat. c] 

MOUTH and THROAT. * Toothache during pregnancy, 
[Bell. * Nux m.* Puis. Staph. — During lactation, Chin. — During 
menstruation, Calc c Carb. v. Cham.] Drawing or beating 
too'hache, extending to ear; pain worse from taking hot or 
cold things in mouth. * White-coated tongue, feeling as if 
burnt, [Colo. *Verat. v.] Slinging sore throat, [*Apis. Bell.] 

STOMACH and ABDOMEN. Aversion to all food; every 
thing tastes too salty, [Carb. v. * Chin.— Not salty enough, Ars. 
Thuya. — Craves salt, Calc. c — See Hepar.] Bitter or sour 
eructations, [Nit. ac. *Nux. Phos.] *Nausea and vomiting 
during pregnancy, [Con. Kreo. *Nux. Verat. a.] Pressure in 
stomach, as from a stone, after eating, [see Nux v.] * Painful 
sense of emptiness in pit of stomach, not relieved by eating, 
[*Ign. Mur. ac. Pet. — Feels full up to throat after eating but 
little, *Chin. *Lyc — Feels empty after eating, Sang. Sars.] 
Burning in abdomen, [*Ars. Phos. Sec — Coldness, *Ars. Calc 
c Laur. *Pet.] 



384 sepia. 

STOOL and ANUS. *Hard, difficult stools, with a sense of 
weight in anus; not relieved by evacuation, [Cact. — *The 
rectum feels as if stopped up, Anacar.] Constipation during 
pregnancy, [Alum. Bry. Lye. *Nux. — Lying-in females, Ant. 
Bry. Nux. Plat.— Diarrhoea during pregnancy. Ant. Dulc. Hyos. 
Phos.] Diarrhoea, stools green, smelling sour. Prolapsus 
ani, [*Podo.] 

URINARY O'S. * Fetid urine, depositing a clay-colored 
sediment, which adheres to chamber, [dark-red urine, staining 
chamber color mahogany, Phyto.] Turbid urine, with sedi- 
ment of red sand, [see *Lyc] Blood-red urine. * Wetting 
bed, particularly in first sleep. 

SEXUAL O'S. * Pressing in uterus, as if everything would 
protrude, [*Bell. Nat. m. *Nit. ac] * Prolapsus uteri and 
vagina, with burning pain in small of the back, [see Merc] 
* Burning, shooting pains in neck of the uterus, [burning, sore, 
aching pain, *Con.] Menses too early and too scanty, [too 
late and too scanty, *Dulc. Phos. *Puls. *Sulph,— See Puis.] 
* Climacteric disorders, [*Lach. Sang.] Leucorrhcea, with 
itching in vagina ; discharge yellowish or watery. Leucorrhoea, 
like milk, only in daytime, [*only at night, of bluish-white 
mucus, Amb. g.] Profuse, watery, offensive leucorrhoea. 

RESPIRATORY O'S. Hoarseness, with dry cough, from 
tickling in throat. * Cough in morning, with profuse expec- 
toration, tasting very salty, [Amb. g. Mag. c. *Phos. — Cough, 
with profuse expectoration, tasting sweet, *Stann. Zinc. — Ex- 
pectoration tasting putrid, *Carb. v. Con. *Puls.] * Pressure 
on upper part of sternum, as from a weight, [Nux m. Phos. 
Sulph.] Feeling of heaviness in chest, [Kreo. Lach. *Sulph. — 
Of lightness, Stann. — Of fulness in the chest, Calc. c. *Phos. 
Puis. — Of emptiness, Coco. Cro. tig. — Of 'rawness in the chest, 
Anacar. Psor. Staph.] 

BACK. Great weakness in small of back, [* constant aching, 
affecting sacrum and hips, JEsculus.] Beating in small of 
back, [Bary. c. Thuya.] Stiffness in nape of neck, [Bell. Kalic. 
*Phos.] Coldness between shoulders, [burning, Bry. *Lyc] 

ARMS. Violent pain in shoulder-joint, as if dislocated, 
[Bry. Ruta.] Pain in upper arm, as if bruised, [Arn. Gel.] 
Heat in hands, [heat of one, coldness of the other, Chin. Dig. 
Ipe. Puis.] Paneritium, beating pains. 

LEGS. Heaviness of the legs. *Icy coldness of feet, [Graph. 
*Phos. *Verat. — As if they had on cold, damp stockings, 
*Calc. c. — Burning and heat of soles, Calc. c. *Phos. ac. 
*Sulph.] Profuse sweat on feet, [Bary c. Lach. Phos. ac. — Very 
fetid, Carb. v. Nit. ac. *Sil.] Swelling of feet, [*Apis. Ars. 
*Kali c. Merc] Cramp in calves at night, in bed, [*Colo. 
Rhus. Sulph. *Verat.] 

SLEEP. Drowsiness in daytime, wide awake at night, [see 
Phos. ac] Loud talking during sleep, [Nat. m. *Sulph.] * Jerk- 
ing of limbs at night, fidgety feeling in feet, [Sticta. Taran. 
*Zinc — Jerking of whole body during sleep, Puis. Sulph. 



SILICEA. 385 

*Zinc] He awakens with a shriek and start, [Coff. *Merc. 
Sulph. — *Awakens with a shrinking look, Stram.] 

FEVER. Intermittent fever, with thirst during chill ; pain 
in limbs; hands and feet icy cold. * The fingers feel as if dead. 
Chill followed by violent heat, and inability to collect one's 
senses, after which profuse sweating. *Frequent flushes of 
heat, especially in afternoon and evening, [*Lyc. Puis. 
*Sulph.] Profuse night-sweat, [Chin. *Merc. *Sil. Stan. — 
Morning sweat after waking, Nux v. Puis. Sulph.] Sweat 
from least motion. 

SKIN. Dry itch, and itch-like eruptions, [*Merc. Staph.] 
Humid herpes, with itching and burning, [see Graph.] * Ring- 
worm, [over whole body, Tellur. — Herpes, in yellow rings, or 
suppurating, Nat. car.] 

CHARACT. PECULIARITIES. Suitable in mild, easy dis- 
positions, and females, [*Puls.] Climacteric disorders, [Lack. 
Sang.] *Disease in women, with sudden prostration and 
sinking faintness. Pains with shuddering, [Ars. Bell. *Puls.] 
Want of natural heat, [Ledum.] Worse in afternoon and 
evening; when at rest, [see Rhus t.] Better from the appli- 
cation of warmth ; from violent exercise. 

SILICEA. 

MIND. * Yielding mind, faint-hearted, anxious mood. 
Gloomy, feels if she would die. *Grent tendency to start, 
[Kali c. Nat. in. Opi. *Phos.] Difficulty of thinking, [*Gel. 
Lach.] *Child cries if spoken to, [see Cham.] 

HEAD. Feels as if intoxicated, [Gel. Cann. s. *Nux.] Ver- 
tigo as if one would fall forward; worse when stooping, riding, 
or raising eyes. Headache from nape of neck to vertex, pain, 
throbbing. Pulsating pain, most violent in forehead and 
vertex, with chilliness, [see Puis.] Sensation of a heavy 
weight pressing in forehead, [Aloe. Cact. Kali b. *Nux v. — 
*As if brain were pressing out through forehead, Aeon.] 
Sensation as if everything in head were alive, [Pet. — Of a lump 
in brain, Con. — Of numbness in brain, Graph. *Mag. m. Plat.] 
*Large head, with open fontanels, [*Calc. c. Merc. Sulph.] 
Itching, humid porrigo on scalp, [Graph. Hep. *Lye. Sulph.] 
* Profuse sweating on head, in evening, [*Calc. c. Merc.] 

EYES. Smarting or burning in eyes, [as from salt, Nux v.] 
Agglutination at night, with smarting of lids. *The eyes are 
dazzled by light. Black spots and fiery sparks before the 
eyes, [see Nux.] Ulceration of cornea. 

EARS. Stoppage of ears, which open at times with a loud 
report, [as of a gun, Graph. — Cracking in the ears when 
chewing, Cal. c. Graph.] Otitis interna. 

NOSE. Ulcers in nose, [see Sep.] Loss of smell, [Kali b. 
Sep.] Stoppage of nose from hardened mucus. *Long last- 
ing itching of the tip of the nose. Ulcers in nose. 

MOUTH and THROAT. ^Toothache when eating warm 
25 



386 SILICEA. 

food, or from breathing cold air through month, [Calc. c. 
*Merc. Suiph.— Pains relieved by ice-cold water, Bry. CofF. 
*Puls.— By external heat, Rhus.] Sensation as of a hair on 
front -part of tongue, [on back part, Kali b. Nat. m. — In nose, 
Hydras.— In throat, Kali b.] Stinging sore throat, only when 
swallowing, [see Apis.] 

STOMACH and ABDOMEN. *Bitter taste in morning, 
[pufr.d taste, Am. Bry. *Merc. *Puls.— Bitter taste after 
eating, Ars. *Nit ac. Puis. — Sour ta^te after eating, Lye. 
Phos.] * Water tastes badly; vomits after drinking, [see 
Ars.] *Hungry, but cannot eat, the food is so nauseous, 
[hunger, with aversion to food, Nux v.] Burning in pit of 
stomach, [*Ars. Canth.*Nux v. Phos. — Coldness.Colch. Sulph.] 
Burning in bowels, [see Ars.] Much rumbling in bowels. 

STOOL. *Constipation before and during menstruation; 
stools in hard lumps, [constipation before and diarrhoea after 
menstruation, Graph.] *Hard, difficult stools; they recede 
after having been partially expelled, [*large, hard stools, with a 
sensation as if anus were closed or too narrow, Nux v. — *The 
rectum feels as if stopped up, Anacar. — See Nux.] Ascarides 
with the stool. 

URINE. Urging to urinate, with scanty discharge. Red 
or yellow sand in the urine, [see *Lyc] 

SEXUAL O'S. Male. Kedn ess of prepuce near the corona, 
as if excoriated with itching, [see *Merc] * Weak and al- 
most extinguished sexual desire, [Arg. n. Hepar. Lye. Mag. 
c] Women. *Increased menses, with icy coldness over 
whole body. Discharge of pure blood from uterus, when babe 
nurses. * Discharge of white water instead of menses, [see 
Puis.] Menses irregular. 

RESPIRATORY O'S. ^Continual cough, with discharge of 
transparent mucus, [Eerr. Chin.] Dry, hacking cough, with 
soreness of chest, [Ars. *Caust. Nux m. Sep. * Staph.— Cough, 
with stitches in chest, *Bry. Bell. *Puls. Sulph.] 

BACK. Spinal curvature, painful to touch, [*Calc. c. Puis. 
Sulph.] Swelling and suppuration of cervical glands. 

EXTREMITIES. Frequent panaritia, also with proud flesh, 
or even where caries have set in, [*Hepar. Merc. — In early 
stage, | ain, burning, stinging, *Apis.] Ulcers on lower leg, 
\_Ganqrennus, Lach. — Old ulcers, with burning and lacerating 
pains, * Ars. Lye] * Fetid sweating of feet, [*Bary, c. Nit. ac. 

* Plumb.] Cold legs and feet. 

FEVER. Hectic fever, particularly during a long suppura- 
tion, [*Calc. c. Hep. Phos. * Sulph.] Worm fever. *Profuse, 
general night-sweat, [see Merc] 

SKIN. Lymphatic swellings, with suppuration. *Ulcers 
with proud flesh and putrid, acrid ichor, [*Ars. Kreo. Hep. 

* Sulph. — Ulcers, with elevated, bluish edges, thin, fetid pus, 
Asaph. Kreo. — Old, foul, flat ulcers, with ichorous discharge, 
*Lach. Puis. Sang. — Indolent ulcers, destitute of any organized 
reaction, much burning at night, very fetid discharge, *Carb. 



SPIGELIA — STRAMONIUM. 387 

v. Lach. — Readily bleeding ulcers, burning like fire, *Ars. Cap.] 
* Fistulous ulcers, with fetid, yellow discharge, [Ant. Calc. c. 
*Kali hyd.] The skin heals badJv. 

CHARACT. PECULIARITIES. Silicea has great control 
over suppurative process, maturing abscesses when desired, 
[*Hep. Mur. ac. Phyto.] *Want of vital heat, [*Ledum. 
Sep.] * Feels better with head covered up. Ailments follow- 
ing vaccination, [Thuya.] Symptoms worse at night and dur- 
ing full moon. Better in warm room, and from being wrapped 
up warmly. 

SPIGELIA. 

HEAD. Vertigo, when looking downwards, [when looking 
upwards, Puis.— See Kali b.] Pressing headacbe in right 
temple, worse from least motion, stooping, or noise; better 
from rest and lying with head high. Sensation of sivashing 
in brain when walking, [Hep. Hyos. Nux v. —Of looseness, 
Cicu. Graph. Mur. ac. Rhus.] Burning in temples, [in vertex, 
Graph. Nat. m. *Sulph. — Coldness, Calc. c. Sep. *Verat. — 
Coldness in back part of brain, Dulc. *Phos.] 

CHEST. Shortness of breath, especially when talking, with 
redness of cheeks and lips. * Dyspnoea and suffocating at- 
tacks on moving and raising the arms. Can lie only on right 
side, [worse on left side, Aeon. Cact. Phos.] Stitches about 
heart, worse from least movement, [Bry. — See Dig.] * Violent 
(visible and audible) palpitation of heart, [Sulph. Tart. Thuya. 
*Verat.] Worse when bending forward, [worse lying down, 
*Ars.] Rubbing, bellows sounds of heart, [Spong. — Trembling, 
fluttering, Lithium.— Wave-like beating of heart, Viola.] 
Palpitation caused by worms. 

STOMACH. Ravenous hunger, with nausea and thirst, 
[* hungry, but cannot eat, the food is so nauseous, Sil. — 
Hunger, with aversion to food, *Nux v.] Nausea in morn- 
ing, as if something were rising in throat from the stomach. 
Worm colic, [*Cina. — Wants to press abdomen against some- 
thins: hard, Stan.] 

STOOL. Frequent, inefficient urging to stool, [Anac. Caust. 
Lye. *Nux.] Discharge of faeces with worms, [Cina. Ign. 
Merc. * Sulph.] Itching and crawling in rectum, [Ign. Mez. 
Tereb.] Ascaridcs, with itching of anus. 

CHARACT. PECULIARITIES. Adapted to anaemic and 
debilitated subjects, and to scrofulous children afflicted with 
worms. Symptoms worse from the least movement, [Aeon. 
*Bry. Merc. — See Rhus.] Attacks periodical. Worse from 
noise, [*Bell. Nux.] 

STRAMONIUM. 

MIND. * Desires light and company, [*Bis. — Aversion 
to, Hyos.] * Disposed to talk continually, [Cicu. Lach.— In- 



388 STRAMONIUM. 

disposed to talk, Dig. *Phos. ac *Verat] *Imagines all 
sorts of things ; that she is double, lying crosswise, etc., 
[thinks another person is in bed with him, Petro. — Thinks 
he is dead, and they are preparing to bury him, Lach. — 
Thinks his limbs are made of glass, and will break, Thuya. — 
Thinks she is pregnant, or will soon be delivered, Verat. — 
Thinks he is a young child, Cicu. — Head feels as if scattered 
about, *Bapt.] * Loquacious delirium, with desire to escape, 
[Bell. Opi. Rhus. — Delirium, strange fancies, and desire to go 
home, *Bry.] * Insane; he gesticulates, dances, sings and 
laughs. Indomitable rage, and desire to bite, [see Bell.] 

HEAD. Staggering vertigo, [see Kali b.] Stupefaction, 
with vanishing of sight, hearing and loss of consciousness, 
[Hyos. *Opi.] Congestion to the head, with pulsation in the 
vertex, [with throbbing of arteries of head and neck, *Bell. 
Hyos.] Sensation of lightness in head, [Hipp. — Of heaviness, 
Calc. c. Nat. m. Phos. ac. Rhus. — Of fulness, Aeon. *Beil. Bry. 
*Merc — Of emptiness, Carol, r. Ign. Opi. Oxal. ac] *Jerk- 
ing head up from pillow, and letting it drop back. Hydro- 
cephalus, with convulsive motions of head, [with sudden, 
shrill cries, boring head into pillow, Apis. Hell. Hyos. — With 
automatic motion of one arm and leg, Apoc. *Hell.] Rheu- 
matic headache. 

EYES. ^Dilatation of the pupils, with staring eyes, 
[*BeIl. Hyos. Laur. Opi. — Pupils contracted, Ars. Cicu. Chel. 
Phos.] * Eyes sparkling. JJim-sightedness. 

MOUTH and THROAT. Grinding of teeth, [Ars. Cicu. 
Verat. — When sleeping, Cina. Podo. — With foam at mouth, 
*Bell. Hell. Hyos.] *Fear of water and aversion to all 
fluids, [*Bell. Canth. *Hyos.] Bloody foam from mouth, 
[Ars. Sec] Difficult deglutition from dryness and spasmodic 
constriction of throat, [Ars. *Bell. *Hyos. Laur.] 

STOMACH. *A11 food tastes like straw, [tastes bitter, *Bry. 
Colo. Puis. — Tastes salt, Carb. v. Chin. Sep. — Craves salt food, 
Calc c Carb. v. *Sep. — See Hepar.] Vomiting sour mucus 
or green bile. Pain in abdomen, as if the navel were pulled 
out, [drawn in, as from a string. * Plumb.] Colic, with cold 
shivers. 

SLEEP. Sleepy, but cannot sleep, [*Bell. Lach. Opi.] He 
lies on his back, with open, staring eyes, [see Opi.] *He 
awakens with a shrinking look, as if he had been frigthened. 

CHARACT. PECULIARITIES. Painlessness with most ail- 
ments. Convuhions, with consciousness, [without consciousness, 
Bell. Cicu. Cup. Hyos.] ^Bright light or contact renews 
the spasms, [Bell.] St. Vitus' dance, [Cup. Hyos. — Especially 
in girls, Bell. — Especially boys, *Nux v.] Stiffness of whole 
body, [Cicu. Cup. Opi.] Extreme degree of nervous 
erethism. He feels too tall. Aggravation; after sleeping, 
[Apis. *Lach, Opi.] From looking at glistening objects, or be- 
ing touched, [Bell.] Better from bright light, [better in the 
dark, [Con. Phos. Sang.] 



suiiPHUR. 389 

SULPHUR. 

MIND. * Low-spirited, out of humor, inclines to weep, 
[see Puis.] Dulness, difficulty of thinking, [Hell. *Laur. 
Spig.] Misplaces, or cannot find right words when he speaks, 
[Graph.] Extremely forgetful, [Croc. Lach. Thuya.] 

HEAD. Vertigo when sitting, [when rising, *Puls.] 
Heaviness and fulness in forehead, [Calc. c. Nat. m. Phos. ac. 
Rhus.] Sensation of hollowness in head, [Coral, r. Ign. Opi. 
Ozal. ac] * Constant heat on top of head, [Graph. Nat. m. — 
Coldness, Sep. *Verat. — On the right side of head, Calc. c — 
On occiput, Dulc. Phos.] Pressure in temples, and tightness 
in brain, [pressure on vertex, as from a weight, Aloe. Cact. 
Cann. s. Kali b.] *Beating headache, worse in morning, 
from motion, when stooping, and in open air. Sick-headache 
every week or every two weeks, [Phyto.] * Fontanels close too 
late, [*Calc. c. Merc. *Sil.] Tinea capitis, dry form, [see 
Rhus.] 

EYES. Burning in eves, [Ars. Bell. Caust. Phos. — Coldness 
of lids, Con. Kali c. Lye] Ulceration of margins of lids, 
[*Euph. Merc. Nat. m.] Specks or ulcers on cornea, [Lach. 
Merc. Sil.] ^Intolerance of sun's light, [*Bell. Con. Ign. 
Puis.] Black motes before the eyes, [Kali c. Merc. Pet.— 
Like a swarm of insects, Caust.] 

EARS. * Deafness, with roaring and itching in ears. 
Whizzing or roaring in ears, [see Chin.] Wabbling, as if 
water was in ears, [escape of wind from ears, Chel. Stram.] 

NOSE. Bleeding of nose, [Bell. *Phos.] Lots of smell, 
[Caust. Hep. Phos. Sep. Sil. —Acuteness of, Bell. Colch. *Lyc] 
Dry ulcers or scabs in nose, [Sep.] Herpes across the nose, 
like a saddle, [see Sep.] 

MOUTH and THROAT. Lips dry, burning. Jerks through 
single teeth. ^Swelling of gums, with throbbing pain, [ul- 
cerated gums, Lye. *Merc. Staph. Sul. ac. — Readily bleeding 
gums, Ars. Merc. Nit. ac. Phos.] Tongue white, with red tip 
and borders. * Pressure in throat as from a lump, [Graph. 
*Hep. Ign. Lach. Nux v.— Sensation as of a splinter, Arg. n. 
Hep. Nit. ac] Sensation of a hair in the throat, [Ars. Kali b.] 

STOMACH and ABDOMEN. *Putrid taste in the morning, 
[see Puis.] Complete loss of appetite, [see Rhus.] Food 
tastes too salt, [Carb. v. Chin. Sep. — Not salt enough, Ars. 
Thuya.— See Hep.] Milk disagrees, [* Puis. Sep.] *Sour 
eructations, with great acidity of stomach, [Cham. Con. Nit. 
ac. Nux v. — Bitter eructations after a meal, Bell. Chin. 
*Nux.] Kegion of stomach very painful to pressure, [Bry. 
Lach. *Merc. *Nux v.] * Painful pressure in stomach, as 
from a weight, [Ars. Bry. *Nux v. Sep.] Burning in stomach, 
[see * Ars.] Chronic hepatitis. * Abdomen sensitive to press- 
ure, internal pans feel raw and sore, [* Bell. Nux.] Move- 
ment in abdomen as of something alive, [Croc. *Saba. Thuya.] 

STOOL and ANUS. Constipation, with frequent unsuccessful 



390 SULPHUR. 

desire for stool, [Anacar. Caust. *Lyc. *Nux v.] Hard 
knotty, insufficient stool, [Alum. Graph. Iod. Sep.] *Painless 
morning diarrhoea, has hardly time to get out of bed, [*Rumex. 
— Early morning diarrhoea, with pain, Aloe. — See Podo.] 
Stools watery ; green mucus; undigested ; changeable. Before 
stool, cutting colic. After stool, tenesmus. * Stool, with as- 
carides, lumbrici, [Cin. Ign. Merc. Spig.] Prolapsus recti 
during stool. * Hemorrhoids, oozing or bleeding. 

URINARY O'S. Frequent micturition, especially at night ; 
urine at times clear, at times saturated with thick sediment. 
Very fetid urine, [see Nit ac] Burning in urethra during 
micturition, [see Canth.] 

SEXUAL O'S. Deep ulcers on glans and prepuce, with 
puffed edges, [see Mere.] Stitches in penis. Troublesome 
itching of pudendum, [Graph. Kreo. *Sep.] * Burning in va- 
gina, [Canth. Lye. Thuya. — Smarting and rawness, Kali b.] 
Menstruation too late, too short, too scant, [Con. *Dulc. Phos. 
*Puls.] Delayed and difficult first menstruation, [see *Puls.] 
*Catamenia thick, black, acrid, making parts sore. * Burn- 
ing, painful leucorrhoea, making parts sore. 

RESPIRATORY O'S. Deep, rough voice— aphonia, [*Bell. 
Bap. Merc. Phos.] Loose cough, with soreness and pressure in 
chest; talking excites cough, [Dros. Kali b. Puis.] *Cough, 
with greenish, purulent expectoration, having a sweetish 
taste, [*Stann.— Gray, salty taste, *Lyc. Phos. Sep.] *Much 
rattling of mucus in lungs ; the cough worse in morning, 
[see Tart, e.] Heavy feeling in chest, [Kreo. Lach. Lye. 
*Nux m.— Light feeling, Stann.] *Stitches in chest, ex- 
tending to back, [Kali c. Merc. Sil.] Stitches in right chest 
to scapula, [Bell. Sep.] Palpitation of heart, anxious, vis- 
ible, [see Spig.] Heart feels too large. 

BACK. Stiffness in nape of the neck. Drawing pain be- 
tween scapulse, {burning between, Ars. Lye. — Coldness between, 
Am. m.] Curvature of spine, [see Sil.] Sensation as if one 
vertebra glided over the other. 

EXTREMITIES. ^Drawing and lacerating in arms and 
hands. Trembling of hands, [Agar. Lach. Phos. Stram.] 

* Panaritium, [*Hep. Lach. Merc. Sil.] Heaviness in lower 
limbs, as if paralyzed, [Bell. Merc. Nux. Rhus.] Eigidity in 
bend of knees, [*Bry. Graph. Led. Sep. — In the hips, Aeon. 
*Rhus. Staph.] ^Burning in soles, [Phos. ac. Puis. *Sil.] 

SLEEP. * Drowsiness in daytime ; sleepless at night, [Lye. 
Merc. — See Stram.] * Talks loudly while asleep, [Bell. 
Nat. m. Sep. — Sings during sleep, Bell. Croc. Phos. ac] 
Jerks and twitches during sleep. 

FEVER. Thirst even before chilliness, [Cimex. Eup. per. 
—Thirst only during chill, Calc. c. Cap. Carb. v. *Ign.— No 
thirst during paroxysm, *Puls. Sep.] *Chill in evening, 
followed by heat and profuse sweat, [Ars. Bell. *Rhus t.] 
Slight chill at 10 a.m., continues till 3 p.m., [see Nat. m.] 

* Frequent flushes of heat, [*Lyc. Sep. Puis.] * Copious 
morning sweat, [see Merc] 



TARTARUS EMETICUS. 391 

SKIN. Dry, husky, scaly skin. ^Unhealthy skin, every 
little injury suppurates, [Calc. c. Graph. *Hep. Sil.] * Psora, 
with violent itching and tingling; burning after scratching, 
[Cro. t. *Merc. Rhus. Staph.] *Pimply eruptions filled wLh 
pus. Dry herpes, scurfy, itching violently, [Calc. c. Kali c. 
Phos. — Humid tetter, Kreo. *ledum. Kali c. Merc] *Ejc~ 
conation of skin, especially where it is folded upon itself, 
[Cham. *Graph. Lye. Merc.] *01d ulcers, with the production 
of proud flesh, [Graph. Sang. *Sil.— Ulcers, which bleed easily 
burn like fire, *Ars. Carb. v. Kreo. Hep. — See Lach.] 

CHARACT. PECULIARITIES. ^Suitable to le m persons 
who walk stooping, [thin, scrawny persons, Arg. nit. *Sec. cor. 
— Scrofulous people, with a low, cachectic state, *Iod.] Talk- 
ing fatigues and excites the pains. * Frequent spasmodic 
jerking in whole body, [Phos. Puis.] *Comes out of spasms 
very happy. * Very weak and faint about 11 A.M., inust have 
something to eat. Worse in evening and after midnight, [see 
Rhus.] While at rest, [Con. Lye. *Rhus. Sep.] 

TARTARUS EMETICUS. 

MIND. Confusion of the head. *Bad humor. Child 
can't bear to be touched, [cries, if spoken to, Sil. — Cries if 
looked at, Ant. c] Great tendency to start. 

HEAD. Vertigo on closing the eyes, or when raising head, 
with flickering before the eyes. Headache, as if a band was 
compressing the forehead, [headache, relieved by compressi >n, 
Apis. Arg. n. *Puls.] Throbbing in right side of forehead. 
Trembling of head, particularly when coughing. 

EYES. Flickering before the eye-, [Ign. Nat. m. — Streaks, 
like lightning before the eyes, Nux.] *Dim, swimming 
eye^. Rheumatic or arthritic ophthalmia. 

NOSE. Sneezing, fluent coryza, with chilliness, loss of taste 
and smell, [see Puis.] Stoppage of nose alternating with 
fluent coryza. 

FACE. * Pale, sunken face, or puffed, w T ith coma. Warn 
sweat on forehead from efforts to vomit, \_cold sweat, Verat.] 
Lips dry, scaly. 

MOUTH. Violent toothache in morning. * Flat taste, food 
seems tasteless, [tastes like straw, Stram.] * Tongue red, in 
streaks, very red, and dry in centre, [brown and dry in centre, 
Bapt. —See Bell.] Aphthce. 

THROAT. * Violent sore throat, with painful, dry heat, 
and redness of the parts. Much mucus in throat, with short 
breathing. Sudden swelling of cervical glands and tonsils. 
Sensation as if a small leaf obstructed windpipe on hawking. 

STOMACH. Violent hiccough, [Bell. Hyos. Nux. Puis.] 
Empty or putrid eructations, [Am.] Continuous anxious 
nausea, [*Ipe. Lobe.] * Vomiting large quantities of mucus, 
[*Ipe.] Continuous nausea, vomiting and diarrhoea, [Ipe. 
Verat.] The vomiting is followed by great prostration, [Ars. 



392 VERATRUM ALBUM. 

Verat.] *Pain in epigastrium, as if stomach had been over- 
loaded. Pulsation in pit of stomach. 

ABDOMEN. Abdomen feels as if stuffed full of stones, [as 
if intestines were squeezed between stones, Colo.] Violent colic, 
as if bowels would be cut to pieces, [see Colo.] 

STOOL. Watery diarrhoea, preceded by colic. Stools 
papescent, slimy, appear like yeast, [see Arn.] * Diarrhoea, 
with vomiting and palpitation of heart. 

URINE. Dark, brownish-red, turbid urine of strong odor, 
[see Nit. ac] Deposits of violet-colored sediment. 

LARYNX and TRACHiE. Hoarseness in morning, worse on 
talking. *Much rattling of mucus in trachse, but little is ex- 
pectorated, [*Ipe.] * Rattling of mucus when coughing or 
breathing. ^Catarrhal croup, [Hepar.] *Coughing and 
gaping consecutively. * Cough compels patient to sit up, is 
loose and rattling, but no expectoration, [see Bry.] Cough, 
with vomiting food and mucus, [see Ipe.] 

CHEST. * Difficult respiration, with great rattling of 
mucus. ^Suffocative and oppressed breathing, must sit up to 
get air. *Chest seems full of phlegm, but does not yield to 
coughing, [*Ipe.] Chest feels as if lined with velvet. * Pneu- 
monia. (Edema of the lungs. * Great precordial anxiety, 
with vomiting mucus and bile. 

BACK. Inclination to unbutton collar of his shirt. Pain 
in back, as from fatigue. * Violent pain in sacro-lumbar 
region, the least motion causes retching and cold, clammy 
sweat. 

LIMBS. ^Trembling of the hands, [Ars. Caust. Hyos.] 
Finger-tips appear dead, dry and hard. Numbness and cold- 
ness in legs. Feet go " to sleep " immediately after sitting 
down. Constant inclination to stretch. 

FEVER. Pulse full, hard and accelerated. The least exer- 
tion accelerates the pulse. Chill, with external coldness, 
coming on at all times of day, with sleepiness. Feels as if 
cold water was poured over him. Long-lasting heat, after a 
short chill, with sleepiness and sweat on forehead. 

SKIN. Ked, itching rash over the body. * Thick erup- 
tion like pocks, often pustular, as large as a pea. Violent 
itching of the skin. Vesicular eruptions. 

CHARACT. PECULIARITIES. Trembling of whole body. Great 
weakness and lassitude. Children want to be carried, and 
cry if touched, [see Cham.] ^Catarrhal inflammation of re- 
spiratory organs. 

VERATEUM ALBUM. 

MIND. Insanity, he wants to cut up everything, [wants to 
bite, to spit, to strike, and to tear things, *Bell. Stram.] Per- 
severing refusal to talk, [*Bell. Ign. Nit. ac. *Phos. ac. — 
Talks continually, Cicu. Lach. *Stram.] 

HEAD. Headache, with (nausea and vomiting^ [Ars. Ipeo. 



VERATRUM ALBUM. 393 

Kali b. *Nux. — Gastric sick-headache, *Iris. Puis. — See 
Nux v.] * Cold perspiration on forehead. Burning in brain, 
[Canth. Hell.] * Coldness on vertex, [Calc. c. Laur. Sep. — 
Burning on vertex, Graph. Nat. m. Sulph.] Heaviness of 
head, [Calc. c. Opi. Phos. ac. Rhus. — Lightness, Hipp. 
*Stram.] 

EYES. Fixed, watery, sunken, [see Opi.] Paralysis of 
eyelids, [great heaviness, cannot keep them open, *Gel. Rhus. 
Sep.] Double vision. Blindness at night, [Bell.] 

FACE. *Cold, collapsed face; pinched-up, bluish nose, 
[pale, death-like face, with distorted features, *Ars. Canth. — 
Distorted, bluish, with mouth wide open, Hyos.] Lockjiw, 
[Bell. Cicu. Hyos.] Facial neuralgia. 

MOUTH and THROAT. Grinding of teeth, [see Stram.] 
Tongue red and swollen, or dry, black, and cracked, [Ars. Merc. 
Lye] Tongue cold, withered, [Carbo v. *Cis. c. Mur. ac] 
Feels as if scalded, [Colo. *Verat. v.— As if burnt and numb, 
Laur. — Feels heavy, Mur. ac. Nat. m. Nux.] Spasmodic 
constriction of throat, [see Hyos.] Roughness in throat. 
Burning in throat, [*Ars. Bell. Lach. Phos". — Coldness, Carb. 
v. Laur.] 

STOMACH and ABDOMEN. * Unquenchable thirst, espe- 
cially for cold drinks, [*Acon. *Ars. Jatro. Phos.] Strong 
desire for acids and refreshing things, [Phos. ac] Continuous 
nausea, [*Ipe. Phos. Tart, e.] Vomiting food, acid, bitter, 
foamy, white, or yellow-green mucu^, [see Ipe.] Vomiting 
black bile and blood, [* Ars. Hyd. ac Sec] * Vomiting, with 
diarrhoea and great prostration, [*Ars. Jatro. Tart, e.] The 
vomiting is renewed by drinking, or the least motion, [Zinc] 
Cutting in abdomen, as with knives, [*Colo. Con.] *Sensa- 
tion as if bowels were tied in knots, [as if squeezed between 
stones, *Colc] * Great sinking and empty feeling in ab- 
domen. Burning in abdomen, as from hot coals, [*Ars. Phos. 
Sec] 

STOOL. Constipation, as from inactivity of rectum; stool 
hard, too large, [Alum. Kali c Nux v.] Diarrhoea; stools 
greenish, watery, with flakes, also blackish, watery stools. Before 
stool, severe pinching colic. During stool, paleness, cold 
sweat on forehead, and vomiting. * After stool, great sinking 
and empty feeling in abdomen, [see Ars.] 

URINE. Greenish urine, [Ars. Mag. c Ruta. — Blackish, 
Colch. Nat. m. — White, like milk, Phos. ac] Frequent, but 
scanty emissions of dark-red urine. 

SEXUAL O'S. *Dysmenorrhcea, with vomiting and purg- 
ing, or exhausting diarrhcea, with cold sweat. Suppressed 
lochia and milk, with delirium. 

RESPIRATORY O'S. Spasmodic cough, with blue face, 
suffocation, [Hyos. Ipe.] *Deep, hollow cough, as if coming 
from abdomen, with yellow, tough, bitter, or salt expectora- 
tion, only during day, [only at night, Caust. Staph. Tart.] 
*Cough,*with involuntary urination. [Caust. Puis.] Stitches 



394 VERATRUM ALBUM. 

in sides of chest, especially when coughing, [Bell. Bry. Puis.] 
Violent, visible, anxious palpitation of heart, [see Spig.] 

FEVER. Pulse irregular, generally small, thread-like; 
often imperceptible, [Ars. Cann. Carb. v.] Intermittent fevers ; 
chill occurs early in morning, or in forenoon, [see Nat. m.] 
Chill, with external coldness only, [external heat and internal 
shuddering, Ign.] First, violent chill, afterwards heat, with 
thirst, then sweat. Blood runs cold through veins, [runs hoc, 
Ars. Rhus.] *Typhoid fever, with great prostration; cold 
sweating ; coma ; vomiting, and watery diarrhoea; bluish face; 
pointed nose; wrinkled skin, [* trembling of hands and coldness 
of extremities, Zinc] 

CHARACT. PECULIARITIES. *Sudden sinking of strength, 
[Aeon. *Ars. *Camph.] Attacks of fainting from least exer- 
tion. Excesive weakness. Shocks in limbs as from electric 
sparks, [*shocks through whole body, Nux v.] Violent tonic 
spsams, palms of hands and soles of feet drawn inward. After 
fright, involuntary stools, [*Gel. Opi.] Worse after drinking; 
after sleep, [Apis. *Lach. Opi. — Better after sleeping, Cro. 
tig. Phos. Sil.] Better after perspiring, [see Merc] 

THE END. 



INDEX. 



PAGE 

Abbreviations 4 

Abortion 195 

Abscess 28 

acute 28 

mammary 185 

Adhesive plaster 284 

After-birth 212 

After-pains 30 

Alvine discharges . 9 

Amenorrhoea 31 

Anaesthetics 24 

in labor 211 

local 25 

Angina pectoris 34 

faucium 253 

Anthrax 59 

Antiseptic dressings 285 

Aphthae 36 

Apoplexy 37 

death from 296 

Apparent death ... 39 

— from chloroform 39 

from cold 40 

from drowning 40 

from ether 39 

from foul gases 39 

from hanging 40 

■ from lightning 40 

from suffocation 39 

Apple water 16 

Arthritis 41 

Artificial respiration 27 

digestion 17 

Ascarides 42 

Ascites, dropsy 43 

Asiatic cholera 64 

Aspiration 26 

Asthma 46 

Atrophy 48 

Autopsy, medico-legal 293 



135 

— starch 136 

Bathing 21 

Baths 21 

foot 22 



PAGJE 

Baths, hot air 22 

sponge , 21 

sitz , 21 

warm 21 

wet sheet pack 21 

Bed for the sick 13 

Bed-sores ',., 50 

Beef-tea 15 

juice . 15 

Biliary calculi 162 

Bilious fever 160 

Bites of insects 50 

of spiders 51 

of snakes 50 

Bleeding of gums 145 

Boils 51 

Bowels, intussusception of. 179 

obstruction of 179 

Brain, inflammation of 1S7 

• concussion of. 78 

Bright's disease 52 

Bronchitis 54 

Bunions 56 

Burns and scalds 57 

Cancrum oris 36 

Carbuncle 59 

Catarrh 60 

chronic 62 

Catarrhal croup 89 

Cess-pools 15 

Change of life 73 

Chloroform 24 

administration of. 24 

cautions in using 24 

in labor 211 

tests for 24 

Cholera, Asiatica 64 

infantum 68 

morbus 67 

Clinical thermometry 7 

Cocaine 25 

Colic 74 

of infants 77 

bilious 162 

renal 198 



(395) 



396 



INDEX. 



PAGE 

Cold compresses 23 

Cold in the head 60 

effects of 137 

Concussion of brain 78 

Constipation 79 

Consumption 218 

Convulsions 83 

puerperal 235 

Cough 85 

hooping 166 

Coup de soleil 260 

Cow's milk 18 

Coxalgia 248 

Cramps 89 

Critical age 73 

Croup, catarrhal 89 

membranous 91 

Crusta lacta 92 

Cystitis 93 

Bead body 293 

inspection of 293 

Death, signs of 26 

from poisoning 297 

■ by alcohol 297 

by arsenic 297 

by carbonic oxide 297 

by corr. sublimate 297 

■ by drowning 298 

by hanging 298 

by hydrocy. ac 297 

by nitric ac 297 

by opium 297 

by oxalic ac. 297 

by phosphorus 297 

by strychnine 298 

by suffocation 298 

by sulphuric ac 298 

Death o£ new-born infants. 294 

cause of 294, 296 

period of. 295 

questions, med.-legal. 294 

Delirium tremens 95 

Dentition 97 

Deodorants 14 

Diabetes 102 

Diagnostic hints 5 

Diarrhoea 3 03 

Diet in diabetes 103 

of infants 18 

in pregnancy 227 

Dietetic preparations 15 

Diphtheria 109 

Disinfection 14 

• of clothing 14 



PAGE 

Disinfection of excreta 14 

of privy vaults 15 

of sick-room 14 

of sputa, 14 

Displacement of womb 232 

Dissection wounds 289 

Dizziness..., 278 

Dropsy 43 

of the brain 170 

of scrotum 169 

Drowning 40 

Duration of pregnancy 231 

Dysentery Ill 

Dysmenorrhoea 115 

Dyspepsia 117 

Earache 206 

Ears, foreign bodies in 133 

Eczema 122 

Effects of cold 137 

Encephalitis 187 

Enemata 23 

of gruel , 24 

of hot water 24 

of mucilage 24 

■ of starch 24 

of warm water 24 

Enteric fever 268 

Enteritis 124 

Enuresis 126 

Epilepsy 127 

Epistaxis 129 

Erysipelas 130 

phlegmonous 131 

Ether, sulphuric 25 

administration of...... 25 

compound 24 

spray 25 

Eye, foreign bodies in 133 

inflammation of 204 

Felons , 132 

Fetid odors 14 

Fever and ague 175 

bilious 239 

catarrhal 60 

child-bed 236 

gastric 239 

intermittent 175 

malarial 239 

puerperal 236 

remittent 239 

rheumatic 240 

scarlet 245 

• —spotted 256 



INDEX. 



397 



PAGE 

Fever, typhoid 268 

yellow 286 

Flooding 213 

Fomentations 23 

hot 23 

-cold 23 

spongia-piline 23 

Foreign bodies in ear 133 

in the eye 133 

in the larynx 135 

in the nose 134 

in the oesophagus 134 

in the pharynx 134 

in the trachea 135 

Fractures 135 

compound.... 136 

Frost-bite 137 

Fumigation 14 

Furuncle 51 

Gall-stone colic 102 

Gangrene 138 

Gastric catarrh 117 

derangement 139 

fever 139 

Gastritis 141 

Gelatine 19 

Gonorrhoea 143 

Gout 41 

Gums, bleeding of 145 

Gum boil — 145 

Haematemesis 146 

Hematuria 147 

Haemoptysis 1 ! ( .) 

Hemorrhage from bladder.. 147 

from gums 1 4."> 

from lungs 149 

from nose 129 

from stomach..... 146 

from uterus 193 

post-partem 213 

Headache 150 

Heart, disease of. 214 

palpitation of 154 

size of. 291 

weight of. 291 

Heat, ill effects of 260 

Hemorrhoids 156 

Hernia 159 

of infants 160 

Hepatic colic 162 

Hepatitis 160 

Herpes 163 

circinatus 163 



PAGE 

Herpes zoster 163 

Hoarseness 165 

Hooping-cough '. 166 

Hot fomentations 23 

salt pads 23 

Hydrocele 169 

Hydrocephalus 170 

Hypodermic medication... 26 

Hysteria 172 

Ice, how to keep 17 

Icterus 180 

Impure water 19 

Incontinence of urine 126 

Infants' food 18 

treatment of 212 

washing of. .. 212 

Inflammation of bladder... 93 

of bowels 124 

of brain 187 

of breasts 185 

of eyes 204 

of kidneys 199 

cf liver 160 

of lungs 221 

of stomach 141 

of tonsils 264 

Ingrowing toe-nails 174 

Injections 23 

Intermittent fever 175 

Intestines 292 

Intussusception 179 

Itch 244 

Itching of skin 230 

Jaundice ISO 

Iiabor 210 

Larynx, foreign bodies in.. 135 

Lead colic 74 

Leucorrhoea 182 

Lime-water 17 

Lint, how to prepare 284 

Liver, affections of 160 

Local anaesthetics 25 

Lochia 213 

Lock-jaw 261 

Lungs, bleeding from 149 

inflammation of. 221 

Malarial fever 239 

Alammitis 185 

Mania-a-potu 95 

Marasmus infantum 48 

Mastitis 185 



398 



INDEX. 



PAGE 
Measles 185 

Medico-legal autopsy 293 

how conducted 293 

Medico-legal questions 294 

Meningitis 187 

cerebro-spinalis 256 

Menses, painful 115 

profuse J89 

cessation of 73 

suppression of 31 

Menorrhagia 189 

Metritis 191 

Metrorrhagia 193 

Milk leg 217 

Miscarriage 195 

Morbus brightii 52 

Morning sickness 228 

Mortification 138 

Mumps 197 

Nephralgia 198 

Nephritis 199 

Nettle-rash 277 

Neuralgia 201 

— — of the heart 34 

Night-sweats 220 

Nipples, sore 252 

Nose, foreign bodies in 134 

bleeding of 129 

Nutrient injections 229 

Oatmeal poultice 22 

Obstetrical table 231 

Obstruction of bowels 179 

(Esophagus, foreign bodies. 134 

Ophthalmia 204 

Opium, poisoning by 226 

Otalgia 206 

Ovaritis 207 

Palpitation of heart 154 

Paracentesis abdominis.... 45 

Paralysis 208 

Parotitis 197 

Parturition 210 

Peptonized food 17 

milk , 17 

Pericorditis 214 

Peritonitis 124 

Pertussis 166 

Pharynx, foreign bodies in 134 

Phlegmasia dolens. 217 

Phthisis pulmonalis 218 

Piles 156 

Placenta praevia 212 



PAGE 

Placenta, delivery of. 212 

retention of 212 

Pleurisy 220 

Pneumonia 221 

Poisoning by acids 224 

■ by aconite 224 

by alcohol 224 

by alkalies 224 

by antimony 225 

by arsenic 225 

by atropia 225 

by belladonna 225 

by bismuth 225 

by camphor 225 

by cantharides 225 

by charcoal gas 226 

by chloral hydrate.... 225 

by chloroform 225 

by croton oil 226 

■ by corrosive sub 225 

• by copper.. 225 

by digitalis 226 

by ergot 226 

by gases 226 

by hydrophobin 226 

■ by iodine 226 

by laudanum 226 

by lead 226 

by morphia 226 

by nitrate of silver.... 226 

-by opium 226 

by Paris green 226 

by phosphorus 226 

by prussicacid 227 

by rhus radicans 227 

by bites of serpents... 227 

by stramonium 227 

by strychnine 227 

• by tobacco 227 

Post-mortem examination. 289 

consent of friends 289 

time for making 289 

■ preliminary prep 289 

instruments 289 

notes taken of. 289 

precautions 289 

operations on head... 289 

on the neck. 290 

on the chest 291 

on the abdomen 291 

■ on the pelvic viscera. 292 

on spinal cord 290 

Post-partum haemorrhage., 213 

Poultices, of bread 22 

of charcoal...., 22 



INDEX. 



3S9 



PAGE 

Poultices, of linseed 22 

of mustard 33 

of oatmeal 22 

of slippery-elm 22 

of yeast 22 

Pregnancy, disorders of.... 227 

diet in ! 227 

duration of 231 

Premature labor 195 

Preparations of food 15 

of apple water 16 

of barley gruel 16 

of beef-juice 15 

of beef-tea 15 

of chicken broth 15 

of Graham-flour gruel 16 

of Graham bread 16 

of grape-juice 16 

of mutton broth 15 

of oyster soup 15 

of rice gruel 16 

of toast 16 

Privy-vaults 15 

Prolapsus of the cord 212 

of the rectum 232 

of the uterus 232 

Pruritus vulvae 230 

Puerperal convulsions 235 

fever 236 

metritis 236 

Pulmonary consumption.... 218 

Pulse,normal 6 

in disease 6 

Putrefaction 296 

Quinsy 264 

Rattlesnake bite 51 

Rectal alimentation 17 

Remittent fever 239 

Renal colic 198 

Respiration 8 

artificial 27 

normal 8 

Retention of placenta 212 

of urine 274 

Rheumatism 240 

Rhigolene 25 

Rigormortis, 295 

Rigid os 210 

Rubeola 185 

Rupture 159 

Salt-pads 23 

Scabies 244 



PAGE 

Scald-head 263 

Scarlet fever 245 

Sciatica I 248 

Seat-worms ,.. 42 

Shingles 163 

Sick-room 13 

disinfection of 14 

fetid odors of 14 

fumigation of 14 

■ ventilation of 13 

Signs of death 26 

Small-pox 250 

Snake bites 50 

Sore nipples 252 

throat 253 

Spasms 83 

Splints 136 

plaster of Paris ,. 136 

Spongia-piline 23 

Spotted fever 256 

Sprains 257 

Sputa, disinfection of 14 

Starch poultice 22 

bandage 136 

Stings of insects 51 

Stomach 292 

Stomach-pump 224 

tube 224 

Stomatitis 2o8 

Stools, signs from 9 

color of. 9 

consistency of 9 

involuntary 9 

Stye 259 

Suppositories, nutrient 17 

Sugar of milk 18 

Sun-stroke 260 

Tampon 212 

Tapeworm 2S3 

Teeth, eruption of. 97 

Temperature 8 

normal 8 

in disease...., 7 

Tetanus 261 

Tetter 163 

Tinea capitis 263 

Tongue, indications of, 5 

Tonsils, induration of 265 

Tonsillitis 204 

Toothache 266 

Trachea, foreign bodies in. 135 

Twins 212 

Typho-malarial fever 239 

Typhoid fever 268 



400 



INDEX. 



PAGE 

Ulcers and sores 273 

Urine, examination of.. 10 

analysis of. 10 

color of 10 

diagnostic hints ]() 

normal 10 

quantity 10 

specific gravity 11 

tests for albumen 11 

tests for mucus 13 

tests for pus 13 

tests for renal casts... 12 

• tests for sugar 12 

Urinary difficulties 274 

deposits 13 

Urticaria 277 

Uterine hemorrhage 193 

Vaccination 250 

Vaginal injections 24 

Variola 250 

Vertigo 278 

Vomiting 280 

. blood 146 

■ during pregnancy 228 



PAGE 

Water as a curative agent. 21 

impurities in 19 

tests for copper 20 

tests for lead 20 

tests for lime 20 

tests for iron 20 

organic matter in 19 

oxide of zinc 20 

Weights and measures 4 

Wet compresses 23 

sheetpack., 21 

Wet-nurse 18 

Whitlow 132 

Whooping-cough 166 

Worm affections 282 

Wounds 284 

dressing of. 284 

contused , 28o 

gun-shot 286 

incised 284 

lacerated 285 

punctured 285 

Yellow fever 286 



REMEDIES. 



Aconitum napellus 301 

Antimonium crudum .... 303 

Apis mellifica 304 

Argentum nitricum .... 305 

Arnica montana 307 

Arsenicum album 308 

Baptisia tinctoria .... 310 

Belladonna 311 

Bryonia alba 314 

Cactus grandiflorus . . 317 

Calcarea carbonica 318 

Cannabis sativa 320 

Cantharides ........ 321 

Capsicum annuum „ , . . . 322 

Carbo vegetables 323 

Causticum 325 

Chamoniilla . 326 

China 328 

Cimicifuga raeemosa .... 330 

Cina , . 331 

Coeculus 332 

Colchicine 333 

Colocynthis 333 

Conium maculatam .... 334 

Digitalis < ... 336 

Dulcamara 337 

Ferrum .... t . t 4 .. 338 

Gelsemium ........ 339 

Graphites . . • , t .... 341 



Hepar sulphur 342 

Hydrastis canadensis .... 344 
Hyoscyamus niger ..... 345 

IGNATIA AMARA . «, . . . . 347 

Ipecacuanha ........ 348 

Kali bichromicum .... 349 

Kali carbonicum 351 

Lachesis trisonoceph. . . 353 

Lycopodium 354 

Magnesia carbonica ... 357 

Mercurius 358 

Mercurius corrosivus .... 361 
Natrum muriaticum . . . 362 

Nitric acid 364 

Nux vomica . . . , , . . 366 

Opium . .... 369 

Phosphorus 370 

Phosphoric acid 373 

Phytolacca decandra .... 375 

Podophvilum 376 

Pulsatilla 377 

Rhus toxicodendron . . .380 

Sepia 383 

Silicea 385 

Spigelia 387 

Stramonium 387 

Sulphur 389 

Tartarus emeticus .... 391 
Veratrum album 392 







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